Organization
ST JOHN HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLEY MICHELLE FROST MS RD LD CDE (DIABETES EDUCATOR)
(918) 744-2449
Entity
Organization
Contact information
Practice address
1717B S UTICA AVE, SUITE 205, TULSA, OK 74104-5333
(918) 744-2995
Mailing address
1717B S UTICA AVE, SUITE 205, TULSA, OK 74104-5333
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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