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Clover Pediatric Wellness And Weight Management

Pediatrics, Pediatric Endocrinology in Tulsa, OK. Organization (NPI-2).

NPI number1992562540
StatusActive
Last updated in NPPESFeb 29, 2024

Details

NPI
1992562540
Entity type
Organization (NPI-2)
Legal business name
Clover Pediatric Wellness And Weight Management
Organization subpart
No
Enumeration date
Feb 29, 2024
Certification date
Feb 29, 2024
Last updated
Feb 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0205X Pediatrics, Pediatric Endocrinology––Yes

Other names

  • Clover Pediatrics (Doing Business As)

Practice location

11911 S Oxford Ave Ste 200
Tulsa, OK 74137-7778

Phone 918-884-6623

Mailing address

11911 S Oxford Ave Ste 200
Tulsa, OK 74137-7778

Phone 918-884-6623

Authorized official

Carley Gomez-Meade
Physician
9188846623

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