ACACIA MEDICAL GROUP

BROKEN ARROW, OK
NPI1851400659
Entity TypeOrganization
Authorized ContactKEITH WHITEHOUSE
Administrator/Secretary
918-258-2641
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-08-29
Last Update Date2008-06-12
Business Address
ACACIA MEDICAL GROUP
2010 W HOUSTON ST
BROKEN ARROW, OK 74012-8303
Phone number: 918-258-2641
Mailing Address
ACACIA MEDICAL GROUP
2010 W HOUSTON ST
BROKEN ARROW, OK 74012-8303
Phone number: 918-258-2641
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