Organization
TULSA BONE & JOINT ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M DUKES MD (PRESIDENT)
(918) 392-1511
Entity
Organization
Contact information
Practice address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1488
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1488
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747620A
—
OK
01
—
CG0279
RAILROAD MEDICARE
OK
Enumeration date
05/17/2006
Last updated
07/05/2024
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