# COMPREHENSIVE INFECTIOUS DISEASE CENTER PC

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

## Provider details

- **NPI number:** 1639394331
- **Authorized official:** PETER OKWUASABA MD (OWNER OPERATOR)
- **Authorized official phone:** (918) 615-3750

## Contact information

- **Practice address:** 8803 S 101ST EAST AVE, SUITE 350, TULSA, OK 74133-5726
- **Practice address phone:** (918) 615-3750
- **Mailing address:** 8803 S 101ST EAST AVE, SUITE 350, TULSA, OK 74133-5726
- **Mailing address phone:** (918) 615-3750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 07/14/2010
