BROKEN ARROW PEDIATRICS LLC NPI 1265879175

NPI Information

  • NPI: 1265879175
  • Provider Name: BROKEN ARROW PEDIATRICS, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 1220 N ELM PL
    BROKEN ARROW, OK
    ZIP 74012
  • Phone: (918) 258-1955

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NPI Details

BROKEN ARROW PEDIATRICS, LLC is a pediatrics in Broken Arrow, OK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BROKEN ARROW PEDIATRICS, LLC NPI is 1265879175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1220 N ELM PL
BROKEN ARROW, OK
ZIP 74012-616
Phone: (918) 258-1955

The provider's authorized official is Carl Erwin Pfanstiel .
The authorized official title is Owner and has the following contact phone number (918) 258-1955.

The enumeration date for this NPI number is 5/31/2013 and was last updated on 5/31/2013.

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
1208000000XPediatrics12938OKLAHOMAYes

What is NPI?

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

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