Individual
DR. THERESA LYNNE MCCOLLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-2226
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24125
OK
207V00000X
Obstetrics & Gynecology Physician
CO 44981
CO
Other
Enumeration date
11/20/2006
Last updated
08/21/2013
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