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Organization
OKLAHOMA STATE UNIVERISTY MEDICAL CENTER
Active
Organization
OKLAHOMA STATE UNIVERISTY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWNA DUNCAN DO (PROGRAM DIRECTOR)
(918) 382-4600
Entity
Organization
Contact information
Practice address
717 S HOUSTON AVE, SUITE 400, TULSA, OK 74127-9023
(918) 382-4600
Mailing address
717 S HOUSTON AVE, SUITE 400, TULSA, OK 74127-9023
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
5986
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200652820
—
OK
Enumeration date
01/27/2017
Last updated
01/27/2017
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