| Bristow Endeavor Healthcare, Llc | |
|
519 N Main St Bristow OK 74010-2016 | |
| (918) 367-6611 | |
| (918) 367-9915 |
| Full Name | Bristow Endeavor Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 519 N Main St, Bristow, Oklahoma |
| Authorized Official Name and Position | Melinda Kay Whitaker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9187012313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristow Endeavor Healthcare, Llc 1809 E 13th St Ste 300 Tulsa OK 74104-4431 Ph: (918) 701-2313 | Bristow Endeavor Healthcare, Llc 519 N Main St Bristow OK 74010-2016 Ph: (918) 367-6611 |
| NPI Number | 1265863583 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 11/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265863583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
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Bristow Endeavor Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 N Main St, Bristow, OK 74010 Phone: 918-367-6611 Fax: 918-367-9915 |