Individual
DR. EMMANUEL ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10159 E 11TH ST, SUITE 100, TULSA, OK 74128-3058
(918) 835-5003
Mailing address
PO BOX 470745, TULSA, OK 74147-0745
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18661
OK
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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