Douglas J. Ivins MD
Family Medicine Physician in Tulsa, OK(View on Map)
Full Name
Douglas John Ivins MD
NPI Number
1023080090
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/03/2006
Specialties
(Taxonomies)Licenses
State
Oklahoma
License Number
23164
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 268838
1111 S ST LOUIS AVE
City
Oklahoma City
Tulsa
State
OK
OK
Postal Code
73126-8838
74120
Country
US
US
Telephone Number
(918) 660-3632
(918) 619-4600
Identifiers
Identifier
20001760C
Identifier State
OK
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007
Provider Address
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