Organization Name: | ARRRC, INC. |
NPI Number: | 1669726188 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSE ANNA MOORE (ADMINISTRATIVE DIRECTOR) |
Mailing Address: | 2149 S.w. 59th St., Suite 105 Oklahoma City |
State: | OK US |
Postal Code: | 731197003 |
Phone Number: | 4055485224 |
Fax Number: | 4055485285 |
NPI Enumeration Date: | 11/06/2012 |
NPI Last Update Date: | 05/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 3899 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |