Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2010-08-23
- Last updated
- 2025-07-30
Specialties
Licenses
- License OK
- 3949
Location
- Practice location
- 148 W MAIN ST, SUITE A
- City
- GLENPOOL OK
- Postal code
- 740333962
- Phone
- 918-321-2719
Organization contact
- Name
- ARRICK KLUGH
- Title
- Managing Member
- Phone
- 9183212719
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.