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Individual

BOERJE A. AXELSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30011 E STATE HIGHWAY 51, COWETA, OK 74429-7681
(918) 486-2161
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
(918) 488-6001
(918) 488-6010

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13435
OK

Other

Enumeration date
12/09/2005
Last updated
02/29/2008
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