East Tulsa Medical Group
Family Medicine Physician in Tulsa, OK(View on Map)
Legal Business Name
East Tulsa Medical Group
NPI Number
1114336534
NPI Type
Organization
Enumeration Date
08/11/2014
Specialties
(Taxonomies)Licenses
State
Oklahoma
License Number
1567
Contact
Information
Purpose
Mailing
Location
Address
11445 E 20TH ST
11445 E 20TH ST
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74128-6421
74128-6421
Country
US
US
Telephone Number
(918) 437-6830
(918) 437-6830
Authorized Official
Name
Jeff Barentine
Title or Position
PARTNER
Telephone Number
(918) 437-6830
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/11/2014
Provider Address
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