| Blue Sparrow Wellness | |
|
4734 S 166th East Ave Tulsa OK 74134-7255 | |
| (918) 895-9550 | |
| Not Available |
| Full Name | Blue Sparrow Wellness |
|---|---|
| Speciality | General Practice |
| Location | 4734 S 166th East Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Charles David Murr (PHYSICIAN) |
| Authorized Official Contact | 9187702698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sparrow Wellness Po Box 691720 Tulsa OK 74169-1720 Ph: (918) 895-9550 | Blue Sparrow Wellness 4734 S 166th East Ave Tulsa OK 74134-7255 Ph: (918) 895-9550 |
| NPI Number | 1629724026 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629724026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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