Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Active
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Other names
OU Physicians Tulsa MBJSM
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Authorized official
JONATHAN JOINER (COO OU PHYSICIANS)
(918) 660-3081
Entity
Organization
Contact information
Practice address
209 S 36TH ST, MUSKOGEE, OK 74401-5043
(918) 682-7717
(918) 682-9434
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
19721
OK
207X00000X
Orthopaedic Surgery Physician
Primary
12652
OK
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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