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Organization

BRIAN A. BOATWRIGHT, PSY.D., P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN A. BOATWRIGHT PSY.D. (NEUROPSYCHOLOGIST)
(615) 415-5767
Entity
Organization

Contact information

Practice address
5272 S LEWIS AVE STE 250, TULSA, OK 74105-6564
(918) 524-3300
(918) 524-3302
Mailing address
2935 E 75TH ST, TULSA, OK 74136-5642
(615) 415-5767

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1144
OK

Other

Enumeration date
04/02/2012
Last updated
04/02/2012
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