Organization
OKLAHOMA OCCUPATIONAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY W NIELSEN PA (PA)
(918) 622-5669
Entity
Organization
Contact information
Practice address
5640 S MEMORIAL DR, TULSA, OK 74145-9001
(918) 622-5669
(918) 624-2673
Mailing address
5640 S MEMORIAL DR, TULSA, OK 74145-9001
(918) 622-5669
(918) 624-2673
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA545OK
OK
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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