Organization
AHS OKLAHOMA PHYSICIAN GROUP, LLC
Active
Other names
Andrea Stafford, MD
Organization subpart
No
Provider details
NPI number
Authorized official
EARL DENNING (CFO)
(918) 579-1000
Entity
Organization
Contact information
Practice address
1245 S UTICA AVE, TULSA, OK 74104-4214
(918) 382-2556
(918) 382-2566
Mailing address
1145 S UTICA AVE, SUITE 110, TULSA, OK 74104-4000
(918) 579-3825
(918) 579-1262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25519
OK
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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