Individual
MIRA GEORGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6565 S YALE AVE, SUITE 312, TULSA, OK 74136-8327
(918) 502-7050
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29183
OK
Other
Enumeration date
04/22/2012
Last updated
07/29/2015
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