Individual
JOHN TYLER WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
940 E 36TH ST N, TULSA, OK 74106-1953
(918) 398-9460
Mailing address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
(918) 748-7585
(918) 403-6352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5464
OK
208M00000X
Hospitalist Physician
5464
OK
Other
Enumeration date
05/09/2012
Last updated
09/03/2025
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