Organization
MEDSTAR EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIXIE GRANT-COLLINS D.O. (PRESIDENT)
(918) 587-2561
Entity
Organization
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 587-2561
Mailing address
DEPT 672, TULSA, OK 74127
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
OK
Other
Enumeration date
10/14/2005
Last updated
08/22/2020
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