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Organization

NEWBORN SPECIALISTS OF TULSA, PC

Active
Parent organization
NEWBORN SPECIALISTS OF TULSA, P.C.
Other names
Next Step Developmental Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEWBORN SPECIALISTS OF TULSA, P.C.
Authorized official
MS. ROSE WYRICK CAPPM (ADMINISTRATOR)
(918) 579-5402
Entity
Organization

Contact information

Practice address
1805 E 15TH ST, TULSA, OK 74104-4610
(918) 579-5402
(918) 579-5404
Mailing address
PO BOX 700930, TULSA, OK 74170-0930
(918) 579-5402
(918) 579-5404

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary

Other

Enumeration date
02/27/2012
Last updated
05/17/2012
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