Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
May also be knows as Ou Physicians Tulsa Wayman Tisdale Clinic
Pediatrics Physician in Tulsa, OK(View on Map)
Legal Business Name
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
Also Known As
Ou Physicians Tulsa Wayman Tisdale Clinic
NPI Number
1194844936
NPI Type
Organization
Enumeration Date
03/29/2007
Specialties
(Taxonomies)Code
208000000X
207Q00000X
207R00000X
2084N0400X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
4502 E 41ST ST # 2G08
591 E 36TH ST N
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74135-2536
74106-1812
Country
US
US
Telephone Number
(918) 660-3632
(918) 619-8700
Authorized Official
Name
Jonathan Joiner
Title or Position
COO OU PHYSICIANS TULSA
Telephone Number
(918) 660-3081
Identifiers
Identifier
100745000U
Identifier State
OK
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/28/2014
Provider Address
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