Individual
TOBIE L BRESLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1725 E 19TH ST, STE 500, TULSA, OK 74104-5437
(918) 748-7560
(918) 293-3128
Mailing address
1725 E 19TH ST, STE 500, TULSA, OK 74104-5437
(918) 748-7560
(918) 293-3128
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14852
OK
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
14852
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100014090A
—
OK
01
—
OK400767
MEDICARE PTAN
OK
01
—
P00016229
MEDICARE RAILROAD
OK
Enumeration date
01/26/2006
Last updated
11/07/2012
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