South Tulsa Pediatrics Pllj
Pediatrics Physician in Tulsa, OK(View on Map)
Legal Business Name
South Tulsa Pediatrics Pllj
NPI Number
1215920293
NPI Type
Organization
Enumeration Date
08/25/2005
Specialties
(Taxonomies)Licenses
State
Oklahoma
License Number
2732
Contact
Information
Purpose
Mailing
Location
Address
7512 E 91ST ST
7512 E 91ST ST
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74133-6050
74133-6050
Country
US
US
Telephone Number
(918) 728-2000
(918) 728-2000
Authorized Official
Name
Dawn Mayberry
Title or Position
OWNER/PHYSICIAN
Telephone Number
(918) 728-2888
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020
Provider Address
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