Organization
EM MADD, LLC
Active
Organization
EM MADD, LLC
Active
Other names
Brian Worley, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN D WORLEY MD (OWNER)
(918) 994-4130
Entity
Organization
Contact information
Practice address
8803 S 101ST EAST AVE, SUITE 383, TULSA, OK 74133-5726
(918) 994-4130
(918) 994-4132
Mailing address
8803 S 101ST EAST AVE, SUITE 383, TULSA, OK 74133-5726
(918) 994-4130
(918) 994-4132
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069180A
—
OK
05
—
200309830A
—
OK
Enumeration date
09/08/2010
Last updated
09/30/2015
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