Individual
ROBERT BENEDICT MAMMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6151 S YALE AVE, STE 304, TULSA, OK 74136-1907
(918) 502-3600
(918) 502-3610
Mailing address
6151 S YALE AVE, STE 1302, TULSA, OK 74136-1907
(918) 502-3600
(918) 502-3610
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
20034
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005220A
—
OK
Enumeration date
07/14/2005
Last updated
11/21/2011
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