Id Specialists Of Tulsa Pc

NPI 1255309019 - Internal Medicine - 207RI0200X

NPI Details
NPI 1255309019
Enumeration Date 03/09/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID NATHAN DAVID
Position PRESIDENT
Phone (918) 582-6343
Fax (918) 583-4376
Practice Location
1145 S UTICA AVE
STE 800
TULSA OK, 74104-4017, US
Phone (918) 582-6343
Fax (918) 583-4376
Business Location
1145 S UTICA AVE
STE 800
TULSA OK, 74104-4017, US
Phone (918) 582-6343
Fax (918) 583-4376
Toxanomy
Taxonomy Code 207RI0200X
License State Oklahoma
License Number 18896
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According to our database, Id Specialists Of Tulsa Pc NPI is 1255309019, taxonomy code is 207RI0200X and license number is 18896, license state is located at Oklahoma. Id Specialists Of Tulsa Pc physically located at 1145 S Utica Ave, Tulsa OK, 74104-4017. NPI Number 1033115704 has the healthcare provider type.

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1255309019 NPI number is provided on an as is basis without warranty of any kind. 1255309019 is maintained by the National Plan & Provider Enumeration System. The contents of Id Specialists Of Tulsa Pc are for informational purposes only.