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Organization

BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA

Active
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Other names
OU Physicians Tulsa Central States Orthopedic
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Authorized official
JONATHAN JOINER (COO OU PHYSICIANS TULSA)
(918) 660-3081
Entity
Organization

Contact information

Practice address
13616 E 103RD ST N, OWASSO, OK 74055-4586
(918) 481-2767
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-3632
(918) 660-3631

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician

Other

Enumeration date
11/28/2011
Last updated
04/04/2012
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