ASPEN CHILDREN'S CLINIC OF BROKEN ARROW INC. NPI 1144363094

NPI Information

ASPEN CHILDREN'S CLINIC OF BROKEN ARROW INC. is a primary care clinic center in Broken Arrow, OK. ASPEN CHILDREN'S CLINIC OF BROKEN ARROW INC. NPI is 1144363094. The provider is registered as an organization entity type.

The provider's business location address is:

3300 S ASPEN AVE
SUITE B
BROKEN ARROW, OK
ZIP 74012-501
Phone: (918) 455-4140

The provider's authorized official is Suresh Bharani .
The authorized official title is President and has the following contact phone number (918) 455-4140.

The CLIA number assigned to this NPI record is 37D0685254 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 8/22/2020.

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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