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Ess Of Sallisaw, LLC

Emergency Medicine in Sallisaw, OK. Organization (NPI-2).

NPI number1215431069
StatusActive
Last updated in NPPESJan 26, 2022

Details

NPI
1215431069
Entity type
Organization (NPI-2)
Legal business name
Ess Of Sallisaw, LLC
Organization subpart
Yes
Enumeration date
Mar 19, 2018
Certification date
Jan 26, 2022
Last updated
Jan 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

213 E Redwood Ave
Sallisaw, OK 74955-2811

Phone 918-774-1110

Mailing address

17304 Preston Rd Ste 1400
Dallas, TX 75252-5633

Phone 866-931-8882

Other practice locations

213 E Redwood Ave
Sallisaw, OK 74955-2811

Phone 918-774-1110

Authorized official

Ron Weiss
Ceo
9729343200

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