Organization
TULSA BEHAVIORAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER JAY EXON M.D. (PRESIDENT)
(918) 938-7701
Entity
Organization
Contact information
Practice address
5272 S LEWIS AVE, SUITE 220, TULSA, OK 74105-6544
(918) 938-7701
(918) 938-7006
Mailing address
5272 S LEWIS AVE, SUITE 220, TULSA, OK 74105-6544
(918) 938-7701
(918) 938-7006
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
10770
OK
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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