Organization
COMPREHENSIVE INFECTIOUS DISEASE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER OKWUASABA MD (OWNER OPERATOR)
(918) 615-3750
Entity
Organization
Contact information
Practice address
8803 S 101ST EAST AVE, SUITE 350, TULSA, OK 74133-5726
(918) 615-3750
Mailing address
8803 S 101ST EAST AVE, SUITE 350, TULSA, OK 74133-5726
(918) 615-3750
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
07/14/2010
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