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Mobile Physician'S Office LLC

Internal Medicine Physician in Broken Arrow, OK · enumerated 2011 · authorized official Tandaleo Gamble, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700170222

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Registry record

Entity type Organization (Type 2)
Legal business name Mobile Physician'S Office LLC
Practice address 3941 N Pine Ave, Broken Arrow, OK, 74012
Phone (918) 760-2200
Fax (918) 615-6556
Enumeration date Jun 1, 2011
Last updated in NPPES Jun 1, 2011

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 13177 (OK) Primary

Authorized official

Name Tandaleo Gamble
Title Ceo
Phone (918) 760-2200

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mobile Physician'S Office LLC?
The NPI for Mobile Physician'S Office LLC is 1700170222, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mobile Physician'S Office LLC?
NPPES lists Tandaleo Gamble (Ceo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-01.