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Organization
SHC MEDICAL PARTNERS OF OKLAHOMA, LLC.
Active
Organization
SHC MEDICAL PARTNERS OF OKLAHOMA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 394-2100
Entity
Organization
Contact information
Practice address
7633 E 63RD PL STE 300, TULSA, OK 74133-1202
(502) 394-2100
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
06/03/2024
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