Individual
DR. SCOTT SAMUEL CYRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8803 S 101ST EAST AVE, STE 200, TULSA, OK 74133-5726
(918) 307-2273
(918) 307-0273
Mailing address
8803 S 101ST EAST AVE, STE 200, TULSA, OK 74133-5726
(918) 307-2273
(918) 307-0273
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
3025
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100600D
—
OK
05
—
100733310A
—
OK
Enumeration date
04/14/2006
Last updated
04/04/2011
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