Individual
LOUIS EDGAR MULKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 S ST LOUIS AVE, TULSA, OK 74120
(918) 619-4600
(918) 619-4601
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 295-6106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3479
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071920D
—
OK
Enumeration date
03/07/2006
Last updated
11/05/2018
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