Organization
TULSA EAR NOSE AND THROAT CENTER, PC
Active
Other names
South Tulsa Ear Nose and Throat Center, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNE NUNN (OFFICE MANAGER)
(918) 459-8824
Entity
Organization
Contact information
Practice address
8803 S 101ST EAST AVE STE 165, TULSA, OK 74133-5750
(918) 459-8824
Mailing address
8803 S 101ST EAST AVE STE 165, TULSA, OK 74133-5750
(918) 459-8824
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747960A
—
OK
Enumeration date
04/12/2007
Last updated
11/08/2011
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