BROKEN ARROW DIAGNOSTIC MEDICINE, PLLC

BROKEN ARROW, OK
NPI1710322672
Entity TypeOrganization
Authorized ContactJACOB LEON CALLISON
CEO
918-994-5140
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2013-05-06
Last Update Date2023-04-10
Business Address
BROKEN ARROW DIAGNOSTIC MEDICINE, PLLC
110 N 1ST ST
BROKEN ARROW, OK 74012-3945
Phone number: 918-994-5140
Mailing Address
BROKEN ARROW DIAGNOSTIC MEDICINE, PLLC
5050 E KENOSHA ST
BROKEN ARROW, OK 74014-6711
Phone number: 918-994-5140
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