Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN L MADDY (CEO OU PHYSICIANS)
(405) 271-3932
Entity
Organization
Contact information
Practice address
6465 S. YALE, STE 304, OU PHYSICIANS TULSA PEDIATRIC SPECIALIST, TULSA, OK 74136
(918) 619-4323
(918) 619-4322
Mailing address
4502 E. 41ST ST, 2G08, OU PHYSICIANS TULSA-CLINICAL SERVICES, TULSA, OK 74135-2527
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
Other
Enumeration date
12/28/2007
Last updated
01/02/2008
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