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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
BRIAN L MADDY (CEO OU PHYSICIANS)
(405) 271-3932
Entity
Organization
Contact information
Practice address
501 S RIVERVIEW DR, OUPTCH-BIXBY BRASSFIELD 5TH & 6TH GRADE CENTER, BIXBY, OK 74008-4916
(918) 660-3632
(918) 660-3631
Mailing address
4502 E. 41ST STREET 2G08, OU PHYSICIANS TULSA-CLINICAL SERVICES, TULSA, OK 74135-2529
(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
09/03/2008
Last updated
09/05/2008
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