Organization
RICHARD R. POLK, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD R. POLK D.O. (OWNER)
(918) 749-0898
Entity
Organization
Contact information
Practice address
8803 S 101ST EAST AVE, SUITE 205, TULSA, OK 74133-5726
(918) 749-0898
(918) 749-0899
Mailing address
8803 S 101ST EAST AVE, SUITE 205, TULSA, OK 74133-5726
(918) 749-0898
(918) 749-0899
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
1343
OK
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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