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Organization
CHILDREN & ADOLESCENT MEDICAL SERVICES INC.
Active
Organization
CHILDREN & ADOLESCENT MEDICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL P CYRUS (PRACTICE MANAGER)
(918) 307-2273
Entity
Organization
Contact information
Practice address
8803 S. 101ST E. AVE., SUITE 200, TULSA, OK 74133
(918) 307-2273
(918) 307-0273
Mailing address
8803 S. 101ST E. AVE., SUITE 200, TULSA, OK 74133
(918) 307-2273
(918) 307-0273
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100600D
—
OK
05
—
100733310A
—
OK
05
—
200115550A
—
OK
Enumeration date
09/14/2006
Last updated
04/20/2011
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