LOOKS BY MALISSA NPI 1073876280

NPI Information

  • NPI: 1073876280
  • Provider Name: LOOKS BY MALISSA
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: BA MED SPA & WEIGHT LOSS CENTER
  • Address: 500 S ELM PL
    BROKEN ARROW, OK
    ZIP 74012
  • Phone: (918) 872-9999

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NPI Details

LOOKS BY MALISSA is a general practice in Broken Arrow, OK. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LOOKS BY MALISSA NPI is 1073876280. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ba Med Spa & Weight Loss Center.

The provider's business location address is:

500 S ELM PL
BROKEN ARROW, OK
ZIP 74012-375
Phone: (918) 872-9999
Fax: (918) 893-6342

The provider's authorized official is James Roy Campbell .
The authorized official title is Medical Director/president and has the following contact phone number (918) 872-9999.

The enumeration date for this NPI number is 6/21/2012 and was last updated on 6/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice1880OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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