Male or Other

Dr. Justin L. Sailo DO

Family Medicine Physician in Tulsa, OK(View on Map)

Full Name

Dr. Justin Lalthawmpuia Sailo DO

NPI Number

1295318152

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/29/2021

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

7760

Contact
Information

Purpose

Mailing
Location

Address

7600 S LEWIS AVE
7600 S LEWIS AVE

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74136-6836
74136-6836

Country

US
US

Telephone Number

N/A
(539) 399-3410

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/14/2024

Provider Address

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