Individual
DR. VADIM YEROKHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 917-4321
Mailing address
1408 S ELWOOD AVE, TULSA, OK 74119-3426
(918) 917-4321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
09/17/2024
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