Organization
EAR, NOSE & THROAT SPECIALISTS OF TULSA, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA DENISE ANDERSON (BILLING REP)
(918) 388-9749
Entity
Organization
Contact information
Practice address
6802 S OLYMPIA AVE STE 200, TULSA, OK 74132-1826
(918) 388-9090
(918) 388-9093
Mailing address
6802 S OLYMPIA AVE STE 200, TULSA, OK 74132-1826
(918) 388-9090
(918) 388-9093
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
19093
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154310555
EHR INCENTIVE PROGRAM
OK
01
—
1245229657
EHR INCENTIVE PROGRAM
OK
01
—
1972593622
EHR INCENTIVE PROGRAM
OK
Enumeration date
12/04/2006
Last updated
10/10/2018
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