St John Health System
Clinic/Center, Medical Specialty in Tulsa, OK. Organization (NPI-2).
NPI number1508226507
StatusActive
Last updated in NPPESMar 3, 2016
Details
- NPI
- 1508226507
- Entity type
- Organization (NPI-2)
- Legal business name
- St John Health System
- Organization subpart
- No
- Enumeration date
- Mar 3, 2016
- Last updated
- Mar 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
1717b S Utica AveSuite 205
Tulsa, OK 74104-5333
Phone 918-744-2995
Mailing address
1717b S Utica AveSuite 205
Tulsa, OK 74104-5333
Authorized official
Kelley Michelle Frost
Diabetes Educator
9187442449
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