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Individual

ROBERT C HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D,

Contact information

Practice address
3820 E 51ST ST, STE B, TULSA, OK 74135-3610
(918) 665-6799
Mailing address
3820 E 51ST ST, STE B, TULSA, OK 74135-3610
(918) 665-6799

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15903
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100074060A
OK
Enumeration date
05/23/2005
Last updated
09/19/2012
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