Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mobile Physician's Office LLC

Organization Internal Medicine Physician · NPI 1700170222

Mobile Physician's Office LLC is an Internal Medicine Physician in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3941 N Pine Ave
Broken Arrow, OK 74012-0459
Phone: (918) 760-2200
Fax: (918) 615-6556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 13177 (OK)

Record details

NPI number1700170222
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tandaleo Gamble — Ceo · (918) 760-2200
NPI enumeratedJune 1, 2011
Last updated in NPPESJune 1, 2011
Mailing address3941 N Pine Ave, Broken Arrow, OK 74012-0459

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