Organization
TULSA NEUROSPINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A. RODGERS M.D. (PRESIDENT)
(918) 481-4965
Entity
Organization
Contact information
Practice address
6565 SOUTH YALE, SUITE 709, TULSA, OK 74136-8308
(918) 481-4965
(918) 481-4996
Mailing address
6565 SOUTH YALE, SUITE 709, TULSA, OK 74136-8308
(918) 481-4965
(918) 481-4996
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442542694004
BLUE CROSS BLUE SHIELD
OK
Enumeration date
10/26/2007
Last updated
01/24/2012
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