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Organization

SOUTH TULSA PEDIATRICS PLLJ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN A MAYBERRY D.O. (OWNER/PHYSICIAN)
(918) 728-2888
Entity
Organization

Contact information

Practice address
7512 E 91ST ST, TULSA, OK 74133-6050
(918) 728-2000
(917) 728-2000
Mailing address
7512 E 91ST ST, TULSA, OK 74133-6050
(918) 728-2000
(917) 728-2000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2732
OK

Other

Enumeration date
08/25/2005
Last updated
08/22/2020
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