Individual
DR. NICHOLAS RYAN PELUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
(918) 748-7585
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 403-7054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5927
OK
207R00000X
Internal Medicine Physician
UO3637
FL
Other
Enumeration date
07/16/2013
Last updated
07/01/2016
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