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Individual

MALACHI THOMAS PENLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
OSU COLLEGE OF OSTEOPATHIC MEDICINE ADDRESS OF 1111 W, 17TH ST.,, TULSA, OK 74107
(918) 934-3105
Mailing address
103 E 35TH ST, TULSA, OK 74105-2507
(918) 934-3105

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/01/2025
Last updated
07/01/2025
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