Individual
MANUEL JESUS CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6160 S YALE AVE, TULSA, OK 74136-1930
(918) 497-3140
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
16762
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220740A
—
OK
Enumeration date
07/19/2005
Last updated
01/23/2017
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