Organization
OZARK NEURO
Active
Organization
OZARK NEURO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SULLIVAN (BILLING MANAGER)
(214) 269-3875
Entity
Organization
Contact information
Practice address
9521 RIVERSIDE PKWY, 338, TULSA, OK 74137-7418
(214) 269-3875
(903) 328-6568
Mailing address
PO BOX 1996, 338, OKLAHOMA CITY, OK 73101-1996
(214) 269-3875
(903) 328-6568
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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