Organization
PEDIATRIC SPECIALISTS OF TULSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY M O'SULLIVAN MD (OWNER)
(918) 523-5437
Entity
Organization
Contact information
Practice address
7412 S YALE AVE, TULSA, OK 74136-7029
(918) 523-5437
(918) 523-5438
Mailing address
7412 S YALE AVE, TULSA, OK 74136-7029
(918) 523-5437
(918) 523-5438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21759
OK
Other
Enumeration date
05/08/2013
Last updated
01/30/2014
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