Organization
ADULT GASTROENTEROLOGY ASSOCIATES INC
Active
Organization
ADULT GASTROENTEROLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS B KLIEWER M.D. (PHYSICIAN)
(918) 481-4700
Entity
Organization
Contact information
Practice address
4200 E SKELLY DR STE 700, TULSA, OK 74135-3256
(918) 438-7050
(918) 221-0835
Mailing address
PO BOX 305, LOWELL, AR 72745-0305
(918) 438-7050
(918) 221-0835
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100740890A
—
OK
Enumeration date
06/04/2006
Last updated
03/19/2025
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