Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
Family Medicine in Tulsa, OK. Organization (NPI-2).
NPI number1184872004
StatusActive
Last updated in NPPESSep 4, 2008
Details
- NPI
- 1184872004
- Entity type
- Organization (NPI-2)
- Legal business name
- Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
- Organization subpart
- No
- Enumeration date
- Sep 4, 2008
- Last updated
- Sep 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 208000000X | Pediatrics | – | – |
Practice location
619 S. Quincy Ave.Ouptch-Laura Dester Shelter
Tulsa, OK 74120
Phone 918-660-3632 · Fax 918-660-3631
Mailing address
4502 E 41st Street, 2g08Ou Physicians Tulsa-Clinical Services
Tulsa, OK 74135-2529
Phone 918-660-3632 · Fax 918-660-3631
Authorized official
Brian L Maddy
Ceo Ou Physicians
4052713932
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