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Individual

DR. JOSE ECHEVARRIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1145 S UTICA AVE, STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE, STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18256
OK
208M00000X
Hospitalist Physician
Primary
18256
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100132480B
OK
Enumeration date
04/11/2006
Last updated
06/21/2019
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