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Individual

DR. EMAD SAMIR ATTALLAH-WASIF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10124 S SHERIDAN RD, STE B, TULSA, OK 74133-6742
(774) 473-9119
(877) 220-3112
Mailing address
10124 S SHERIDAN RD, STE B, TULSA, OK 74133-6742
(774) 473-9119
(877) 220-3112

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
31431
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200593270A
OK
Enumeration date
08/01/2007
Last updated
03/17/2018
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