Organization · NPI-2
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
Orthopaedic Surgery · Muskogee, OK
NPI number1184947236
StatusActive
Last updated in NPPESMar 3, 2010
Details
- NPI
- 1184947236
- Entity type
- Organization (NPI-2)
- Legal business name
- Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
- Organization subpart
- Yes
- Enumeration date
- Mar 3, 2010
- Last updated
- Mar 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 12652 | OK | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | 19721 | OK |
Other names
- Ou Physicians Tulsa Mbjsm (Doing Business As)
Practice location
209 S 36th StMuskogee, OK 74401-5043
Phone 918-682-7717 · Fax 918-682-9434
Mailing address
Po Box 268838Oklahoma City, OK 73126-8838
Phone 918-660-3632 · Fax 918-660-3631
Authorized official
Jonathan Joiner
Coo Ou Physicians
9186603081
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