OrganizationActive
Careatc - Aspen
NPI 1104370535 · Primary Care Clinic/Center · Broken Arrow, OK
Provider details
- NPI number
- 1104370535
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Keith Gucwa, Director of Purchasing and Faciliti
Practice location
1749 N Aspen Ave
#1757
Broken Arrow, OK 74012-1197
Phone: (918) 747-9740
Fax: (918) 779-7434
Mailing address
1749 N Aspen Ave
Broken Arrow, OK 74012-1197
Registry dates
- Enumerated
- 2016-08-15
- Last updated
- 2016-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.