Organization
OSU CARDIOLOGY
Active
Parent organization
OSU COLLEGE OF OSTEOPATHIC MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSU COLLEGE OF OSTEOPATHIC MEDICINE
Authorized official
VICTORIA RENEE PARKS (PRACTICE MANAGER/LPN)
(918) 582-7711
Entity
Organization
Contact information
Practice address
802 S JACKSON AVE, SUITE 225, TULSA, OK 74127-9015
(918) 582-7711
(918) 583-5831
Mailing address
802 S JACKSON AVE, SUITE 225, TULSA, OK 74127-9015
(918) 582-7711
(918) 583-5831
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
3798
OK
207RI0011X
Interventional Cardiology Physician
Primary
4168
OK
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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