# ELECTRODIAGNOSTIC MEDICINE OF TULSA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972750941
- **Authorized official:** DR. JEFFREY S HALSELL D.O (PROVIDER/PHYSICIAN)
- **Authorized official phone:** (918) 728-8020

## Contact information

- **Practice address:** 9308 S TOLEDO AVE, TULSA, OK 74137-2739
- **Practice address phone:** (918) 728-8020
- **Practice address fax:** (918) 728-8019
- **Mailing address:** 9308 S TOLEDO AVE, TULSA, OK 74137-2739
- **Mailing address phone:** (918) 615-6581
- **Mailing address fax:** (918) 893-1242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 08/21/2008
- **Last updated:** 11/21/2015