| NPI | 1861972291 |
|---|---|
| Doing Business As | PREMISE HEALTH - BROKEN ARROW |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEIZMAN President 216-479-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2022-10-13 |