Organization
NEUROLOGIC MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HASTINGS (OWNER)
(918) 742-4100
Entity
Organization
Contact information
Practice address
5563 S LEWIS AVE, SUITE 100, TULSA, OK 74105-7141
(918) 742-4100
(918) 512-4846
Mailing address
5563 S LEWIS AVE, SUITE 100, TULSA, OK 74105-7141
(918) 742-4100
(918) 512-4846
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
01/21/2014
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