Organization
ALLURE MEDICAL SPA OF OKLAHOMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FAIR (DIRECTOR OF OPERATIONS)
(918) 523-0002
Entity
Organization
Contact information
Practice address
4700 W URBANA ST, BROKEN ARROW, OK 74012-5997
(918) 237-8346
(918) 359-5828
Mailing address
6711 S YALE AVE, STE 202, TULSA, OK 74136-3313
(918) 359-5940
(918) 359-5941
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
01/29/2014
Last updated
07/15/2014
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