NPI 1073876280

Looks By Malissa

Organisation General Practice Physician Broken Arrow, OK

Practice location

Address: 500 S Elm Pl, Broken Arrow, OK 74012-5375
Phone: (918) 872-9999
Fax: (918) 893-6342

Authorised official

Name: James Roy Campbell
Title: Medical Director/President
Phone: (918) 872-9999

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 1880 (OK)

Other General Practice providers in Oklahoma →

Registry record

NPI: 1073876280
Entity type: Organization
NPI issued: 21 Jun 2012
Record last updated: 21 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.