ICP OKLAHOMA ACO BILLING LLC

TULSA, OK
NPI1255915427
Entity TypeOrganization
Authorized ContactAYASHA THOMASON
Authorized Official
501-831-1168
Organization Subpart ?No
Primary Taxonomy364S00000X Clinical Nurse Specialist
Enumeration Date2021-05-12
Last Update Date2021-05-12
Business Address
ICP OKLAHOMA ACO BILLING LLC
8211 E REGAL PL STE 100
TULSA, OK 74133-7181
Phone number: 855-498-6767
Mailing Address
ICP OKLAHOMA ACO BILLING LLC
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 855-498-6767
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