Organization
OMNI MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY SCRUGGS (REVENUE CYCLE MANAGER)
(580) 678-4243
Entity
Organization
Contact information
Practice address
1923 S UTICA AVE, DAVIS TOWER 200, TULSA, OK 74104-6520
(918) 744-2345
Mailing address
1923 S UTICA AVE, DAVIS TOWER 200, TULSA, OK 74104-6520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100740940A
—
OK
Enumeration date
05/24/2006
Last updated
01/22/2026
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