Organization
GOODWILL INDUSTRIES OF TULSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E OLIVER (PRESIDENT)
(918) 584-7291
Entity
Organization
Contact information
Practice address
2800 SOUTHWEST BLVD, TULSA, OK 74107-3817
(918) 584-7291
Mailing address
2800 SOUTHWEST BLVD, TULSA, OK 74107-3817
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100802990F
—
OK
Enumeration date
05/20/2008
Last updated
05/20/2008
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