LOOKS BY MALISSA NPI 1073876280

NPI Information

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:

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