| Bristow Endeavor Healthcare, Llc | |
|
2340 E. Main Street Cushing, OK 74023 | |
| (918) 225-6904 | |
| (918) 225-4559 |
| Full Name | Bristow Endeavor Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2340 E. Main Street, Cushing,, Oklahoma |
| Authorized Official Name and Position | Jan E. Winter (CEO) |
| Authorized Official Contact | 9183672215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristow Endeavor Healthcare, Llc 700 W. 7th Street Bristow, OK 74010 Ph: (918) 367-2215 | Bristow Endeavor Healthcare, Llc 2340 E. Main Street Cushing, OK 74023 Ph: (918) 225-6904 |
| NPI Number | 1295243749 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 05/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295243749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |