AMATTCO LLC NPI 1477009256

NPI Information

AMATTCO LLC is a specialist in Broken Arrow, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AMATTCO LLC NPI is 1477009256. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As New Leaf Wellness Center.

The provider's business location address is:

3100 S ELM PL
SUITE B
BROKEN ARROW, OK
ZIP 74012-950
Phone: (918) 884-7800
Fax: (918) 731-4518

The provider's authorized official is David Ryker .
The authorized official title is Supervising Physican and has the following contact phone number (405) 751-9800.

The enumeration date for this NPI number is 8/31/2016 and was last updated on 8/31/2016.

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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