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Organization
MISSION PHYSICIAN SERVICES OF OKLAHOMA, LLC
Active
Organization
MISSION PHYSICIAN SERVICES OF OKLAHOMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M. WEBB (PRESIDENT)
(918) 770-4441
Entity
Organization
Contact information
Practice address
3220 S PEORIA AVE STE 101, TULSA, OK 74105-2006
(918) 770-4441
(918) 712-9880
Mailing address
3220 S PEORIA AVE STE 101, TULSA, OK 74105-2006
(918) 770-4441
(918) 712-9880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
10/19/2010
Last updated
12/27/2010
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