Broken Arrow Diagnostic Medicine, PLLC
Broken Arrow Diagnostic Medicine, PLLC provides Family Medicine Physician services in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2013.
- Licensed in
- OK
- In the registry since
- 2013
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5050 E Kenosha StBroken Arrow, OK 74014-6711
Phone: (918) 994-5140
Fax: (918) 994-5150
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (OK) |
|---|
Record details
| NPI number | 1710322672 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacob Callison — Managing Member · (918) 994-5140 |
| NPI enumerated | May 6, 2013 |
| Last updated in NPPES | October 8, 2024 |
| Certification date | October 8, 2024 |
| Mailing address | 5050 E Kenosha St, Broken Arrow, OK 74014-6711 |
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