NPI | 1316952112 |
---|---|
Other Name | PIC BARTLESVILLE, PLLC |
Entity Type | Organization |
Authorized Contact | MONICA KLOSA Director / Billing Services 815-713-2621 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OK 18176) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 16429) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2010-02-01 |