Organization
ALLERGY RELIEF OF SOUTH TULSA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY PHILLIPS (DIRECTOR OF BUSINESS AFFAIRS)
(918) 893-9240
Entity
Organization
Contact information
Practice address
9940 E 81ST ST STE 100, TULSA, OK 74133-4501
(918) 893-9240
Mailing address
9940 E 81ST ST STE 100, TULSA, OK 74133-4501
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/05/2019
Last updated
11/27/2023
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