Individual
EUGENE O DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1809 E 13TH ST, 400, TULSA, OK 74104-4419
(918) 599-8200
(918) 587-1767
Mailing address
1809 E 13TH ST, 400, TULSA, OK 74104-4419
(918) 599-8200
(918) 587-1767
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21225
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091720B
—
OK
Enumeration date
04/19/2006
Last updated
02/17/2012
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