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
619 S. QUINCY AVE., OUPTCH-LAURA DESTER SHELTER, TULSA, OK 74120
(918) 660-3632
(918) 660-3631
Mailing address
4502 E 41ST STREET, 2G08, OU PHYSICIANS TULSA-CLINICAL SERVICES, TULSA, OK 74135-2529
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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