Individual
JOHN L. ECKENRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11212 E 48TH ST, TULSA, OK 74146
(918) 556-3000
(918) 556-7052
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3333
(918) 488-6687
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25942
OK
207RX0202X
Medical Oncology Physician
4301043836
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200126310A
—
OK
Enumeration date
03/07/2006
Last updated
07/19/2022
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