Warren Clinic Memorial South Pediatrics Soonercare Group
Pediatrics Physician in Tulsa, OK(View on Map)
Legal Business Name
Warren Clinic Memorial South Pediatrics Soonercare Group
NPI Number
1841458239
NPI Type
Organization
Enumeration Date
06/02/2008
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
8414 E 101ST ST
6600 S YALE AVE
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74133-6919
74136-3310
Country
US
US
Telephone Number
N/A
(918) 488-6001
Authorized Official
Name
Kathy Mason
Title or Position
CREDENTIALING COORDINATOR
Telephone Number
(918) 488-6687
Identifiers
Identifier
100739490T
Identifier State
OK
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/02/2008
Provider Address
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