Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Active
Other names
OU Physicians Tulsa Wayman Tisdale Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN JOINER (COO OU PHYSICIANS TULSA)
(918) 660-3081
Entity
Organization
Contact information
Practice address
591 E 36TH ST N, TULSA, OK 74106-1812
(918) 619-8700
(918) 634-7884
Mailing address
4502 E 41ST ST # 2G08, OU PHYSICIANS TULSA-CLINICAL SERVICES, TULSA, OK 74135-2536
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100745000U
—
OK
Enumeration date
03/29/2007
Last updated
07/28/2014
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