Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN L MADDY (CEO OU PHYSICIANS)
(405) 271-3932
Entity
Organization
Contact information
Practice address
4502 E. 41ST STREET, OU BEDLAM MOBILE CLINIC, TULSA, OK 74135-2553
(918) 660-3614
(918) 660-3631
Mailing address
4502 E 41ST ST # 2G08, OU PHYSICIANS TULSA-CLINICAL SERVICES, TULSA, OK 74135-2553
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/29/2007
Last updated
08/29/2007
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