Individual
PETER MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 619-4400
Mailing address
1841 E 27TH ST, TULSA, OK 74114-4201
(918) 550-0308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31595
OK
Other
Enumeration date
04/17/2015
Last updated
05/07/2016
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