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Organization

BOARD FO REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN L MADDY (CEO OU PHYSICIANS)
(405) 271-3932
Entity
Organization

Contact information

Practice address
2325 SOUTH HARVARD STE 400A, OUTACH FAMILY & CHILDREN'S SERVICES, TULSA, OK 74114
(918) 660-3622
(918) 660-3611
Mailing address
4502 E 41ST ST 2G08, OU PHYSICIANS TULSA-CLINICAL SERVICES, TULSA, OK 74135-2527
(918) 660-3632
(918) 660-3631

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100755890C
OK
Enumeration date
04/30/2008
Last updated
04/30/2008
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