Organization

Young Peoples Clinic

Pediatrics Physician in Tulsa, OK(View on Map)

Legal Business Name

Young Peoples Clinic

NPI Number

1295929024

NPI Type

Organization

Enumeration Date

09/05/2007

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

1205997582

Contact
Information

Purpose

Mailing
Location

Address

3401 E 21ST ST
3401 E 21ST ST

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74114-1958
74114-1958

Country

US
US

Telephone Number

(918) 745-0501
(918) 745-0501

Authorized Official

Name

Dr. Miriam Mills

Title or Position

PEDIATRICIAN

Telephone Number

(918) 745-0501

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

Data last updated by provider on 09/05/2007

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