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Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Active
Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN L MADDY (CEO OU PHYSICIANS)
(405) 271-3932
Entity
Organization
Contact information
Practice address
4502 E. 41ST STREET, OU BEDLAM MOBILE CLINIC, TULSA, OK 74135-2553
(918) 660-3614
(918) 660-3631
Mailing address
4502 E 41ST ST # 2G08, OU PHYSICIANS TULSA-CLINICAL SERVICES, TULSA, OK 74135-2553
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/29/2007
Last updated
08/29/2007
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