Organization
EAST TULSA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF A BARENTINE PA (PARTNER)
(918) 437-6830
Entity
Organization
Contact information
Practice address
11445 E 20TH ST, TULSA, OK 74128-6421
(918) 437-6830
(918) 437-6171
Mailing address
11445 E 20TH ST, TULSA, OK 74128-6421
(918) 437-6830
(918) 437-6171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1567
OK
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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