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Organization
ALTERNATIVE MEDICINE OF TULSA INC
Active
Organization
ALTERNATIVE MEDICINE OF TULSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA DENISE SHEHAN RN (VICE PRESIDENT OWNER)
(918) 660-0031
Entity
Organization
Contact information
Practice address
4845 S SHERIDAN RD STE 509, TULSA, OK 74145-5719
(918) 660-0031
(918) 660-0056
Mailing address
4845 S SHERIDAN RD STE 509, TULSA, OK 74145-5719
(918) 660-0031
(918) 660-0056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10210
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10210
OK ST BOARD OF MED LIC
OK
01
—
1027261
NCCPA
OK
01
—
408
OK STATE BRD OF MED LIC
OK
Enumeration date
11/27/2006
Last updated
08/22/2020
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