Organization
MANAGEMENT WORLDWIDE, LLC
Active
Other names
Oklahoma Mens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RUBOTTOM (BUSINESS MANAGER)
(316) 633-1507
Entity
Organization
Contact information
Practice address
4415 S HARVARD AVE STE 201, TULSA, OK 74135-2618
(918) 895-9100
(918) 731-4521
Mailing address
13303 W MAPLE, SUITE 139 #103, WICHITA, KS 67235
(316) 633-1507
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053811273
NPPES
OK
01
—
1811374770
NPPES
OK
01
—
1902822802
NPPES
OK
Enumeration date
01/22/2020
Last updated
01/22/2020
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