Vip Endoscopy Inc in Broken Arrow - Clinic/center

Vip Endoscopy Inc - NPI 1558471490

Vip Endoscopy Inc is a Clinic/center in Broken Arrow, Oklahoma. Vip Endoscopy Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Vip Endoscopy Inc is 1558471490. The last update date is 2007-09-11.

Vip Endoscopy Inc's current location address is 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma. You can contact this provider via phone number 9182948477 and fax number 9182943003. The mailing address for Vip Endoscopy Inc is 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Vip Endoscopy Inc
Address 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma
Phone Number 9182948477
Fax Number 9182943003
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Von Muller Bell Sarah
Credentials MD
Telephone Number 9182948477

NPI Number Detail

NPI Number 1558471490
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-09-11

Provider Mailing Address Detail

Address 1615 S Eucalyptus Ave
City Broken Arrow
State Oklahoma (OK)
Post Code 74012
Phone Number 9182948477
Fax Number 9182943003

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 72
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3104093 OK AETNA

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FAQs about Vip Endoscopy Inc

What is the unique 10-digit identifier code issued to Vip Endoscopy Inc by the Centers for Medicare & Medicaid Services?

The Vip Endoscopy Inc has been assigned the NPI (National Provider Identifier) 1558471490 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Vip Endoscopy Inc located?

The Vip Endoscopy Inc is located at 1615 S Eucalyptus Ave, Broken Arrow, OK 74012.

What is the Vip Endoscopy Inc's specialty and taxonomy code?

The Vip Endoscopy Inc's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1558471490 to Vip Endoscopy Inc?

The Centers for Medicare & Medicaid Services originally issued the 1558471490 to Vip Endoscopy Inc on 2006-08-30.

When was the information pertaining to Vip Endoscopy Inc most recently updated or revised?

The details related to Vip Endoscopy Inc, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-11.

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