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Individual

EARL MICHAEL CALLERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9245 S MINGO RD, TULSA, OK 74133-5793
(918) 574-0250
(918) 574-0259
Mailing address
9245 S MINGO RD, TULSA, OK 74133-5793
(918) 574-0250
(918) 574-0259

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1865
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100255830A
OK
Enumeration date
01/10/2007
Last updated
04/22/2016
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