Organization
SOUTHWEST NEUROLOGY SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREY MARLER (MANAGER)
(918) 888-8080
Entity
Organization
Contact information
Practice address
5711 E 71ST ST STE 100, TULSA, OK 74136-6655
(918) 888-8080
Mailing address
5711 E 71ST ST STE 100, TULSA, OK 74136-6655
(918) 888-8080
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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