Organization
WARREN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHEY R DUPLISSEY (CREDENTIALING COORDINATOR)
(918) 488-6687
Entity
Organization
Contact information
Practice address
6151 S YALE AVE, SUITE 1301, TULSA, OK 74136-1907
(918) 502-3200
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
22448
OK
Other
Enumeration date
11/01/2013
Last updated
12/13/2018
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