# UROLOGIC SPECIALISTS OF TULSA, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477762730
- **Authorized official:** DR. WESLEY TODD BROOKOVER MD (PRACTICE OWNER)
- **Authorized official phone:** (918) 728-3344

## Contact information

- **Practice address:** 6585 S YALE AVE, SUITE 640, TULSA, OK 74136-8384
- **Practice address phone:** (918) 728-3344
- **Practice address fax:** (918) 728-3350
- **Mailing address:** 6585 S YALE AVE, SUITE 640, TULSA, OK 74136-8384
- **Mailing address phone:** (918) 728-3344
- **Mailing address fax:** (918) 728-3350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 18009 | OK | — |
| 208800000X | Urology Physician | 9730 | OK | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 01/22/2008