| Arkansas Liver And Gastroenterology, Pa | |
|
2347 North Thompkins Ave Bethany OK 73008 | |
| (479) 242-2888 | |
| (479) 242-2889 |
| Full Name | Arkansas Liver And Gastroenterology, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 2347 North Thompkins Ave, Bethany, Oklahoma |
| Authorized Official Name and Position | Sarah Jessica-elise Coluccino (OFFICE MANAGER) |
| Authorized Official Contact | 4792422888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Liver And Gastroenterology, Pa 3416 Old Greenwood Road Fort Smith AR 72903 Ph: (479) 242-2888 | Arkansas Liver And Gastroenterology, Pa 2347 North Thompkins Ave Bethany OK 73008 Ph: (479) 242-2888 |
| NPI Number | 1366943151 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 02/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366943151 | NPI | - | NPPES |
| 21089002 | Medicaid | AR | |
| 2006036301A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Dr Joseph Clifton Broome Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-787-4915 Fax: 405-787-6303 | |
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