Organization
MIDTOWN TULSA PEDIATRIC GROUP PLLC
Active
Organization
MIDTOWN TULSA PEDIATRIC GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DUNLAP (OFFICE MANAGER)
(918) 740-1384
Entity
Organization
Contact information
Practice address
1724 S HARVARD AVE, TULSA, OK 74112-6826
(918) 740-1384
Mailing address
2304 S CINCINNATI AVE, TULSA, OK 74114-1222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/28/2019
Last updated
10/05/2020
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