| Assoc Holdings Llc | |
|
557 Harrison St Pawnee OK 74058-2566 | |
| (918) 762-5050 | |
| (918) 762-5055 |
| Full Name | Assoc Holdings Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 557 Harrison St, Pawnee, Oklahoma |
| Authorized Official Name and Position | Niko Koliastasis (CEO) |
| Authorized Official Contact | 9186363930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Assoc Holdings Llc 557 Harrison St Pawnee OK 74058-2566 Ph: (918) 762-5050 | Assoc Holdings Llc 557 Harrison St Pawnee OK 74058-2566 Ph: (918) 762-5050 |
| NPI Number | 1235666314 |
|---|---|
| Provider Enumeration Date | 05/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235666314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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