Organization
SHC MEDICAL PARTNERS OF OKLAHOMA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 394-2100
Entity
Organization
Contact information
Practice address
7633 E 63RD PL STE 300, TULSA, OK 74133-1202
(502) 394-2100
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
06/03/2024
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