Organization
NEWBORN SPECIALISTS OF TULSA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE WYRICK CAPPM (OFFICE MANAGER)
(918) 579-5402
Entity
Organization
Contact information
Practice address
1120 S UTICA AVE, SUITE 2123, TULSA, OK 74104-4012
(918) 579-5402
(918) 579-5404
Mailing address
1120 S UTICA AVE, SUITE 2123, TULSA, OK 74104-4012
(918) 579-5402
(918) 579-5404
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100748110A
—
OK
05
—
154786002
—
AR
05
—
160476101
—
TX
05
—
500871405
—
MO
Enumeration date
06/03/2006
Last updated
11/16/2011
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