PHOENIX PRIMARY CARE, LLC

PAWNEE, OK
NPI1952890337
Entity TypeOrganization
Authorized ContactNIKO KOLIASTASIS
CEO
918-636-3930
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2018-05-01
Last Update Date2020-01-08
Business Address
PHOENIX PRIMARY CARE, LLC
557 HARRISON ST
PAWNEE, OK 74058-2566
Phone number: 918-762-5050
Mailing Address
PHOENIX PRIMARY CARE, LLC
209 N OAK ST
SALLISAW, OK 74955-4639
Phone number: 918-503-6276