Organization
BROOKHAVEN HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLF B GAINER PH.D. (CHIEF EXECUTIVE OFFICER)
(918) 438-4257
Entity
Organization
Contact information
Practice address
201 S GARNETT RD, TULSA, OK 74128-1805
(918) 438-4257
(918) 438-0083
Mailing address
201 S GARNETT RD, TULSA, OK 74128-1805
(918) 438-4257
(918) 438-0083
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2313
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100701410D
—
OK
Enumeration date
07/25/2007
Last updated
05/22/2008
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