Organization
MICROVAS TREATMENT CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA M ADAMSON (CLINIC SUPERVISOR)
(918) 250-9996
Entity
Organization
Contact information
Practice address
6130 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 250-9996
(918) 252-4888
Mailing address
6130 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 250-9996
(918) 252-4888
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
2361
OK
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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