Individual
DOMINIC LOSACCO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6565 S YALE AVE, STE 706, TULSA, OK 74136-8308
(918) 491-5767
(918) 491-5771
Mailing address
6565 S YALE AVE, STE 706, TULSA, OK 74136-8308
(918) 491-5767
(918) 491-5771
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10161
OK
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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