Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Active
Other names
OUPT Sports Medicine and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN JOINER (CHIEF FINANCIAL OFFICER)
(918) 660-3000
Entity
Organization
Contact information
Practice address
5005 S DARLINGTON AVE, #100, TULSA, OK 74135-7307
(918) 619-4400
(918) 619-4662
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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