Organization
EASTERN OKLAHOMA EAR, NOSE, AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ELLSWORTH (OFFICE MANAGER)
(918) 492-3636
Entity
Organization
Contact information
Practice address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-3636
(918) 494-8915
Mailing address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-3636
(918) 494-8915
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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