Organization
UROSOURCE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R SONTAG (MEMBER)
(918) 742-3387
Entity
Organization
Contact information
Practice address
5350 S PEORIA AVE, SUITE L, TULSA, OK 74105-6820
(918) 742-3387
(918) 745-6019
Mailing address
5350 S PEORIA AVE, SUITE L, TULSA, OK 74105-6820
(918) 742-3387
(918) 745-6019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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