Individual
DR. ANDREAS FRANK REVELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10810 E 45TH ST STE 400, TULSA, OK 74146-3806
(918) 742-7030
(918) 742-9958
Mailing address
10810 E 45TH ST STE 400, TULSA, OK 74146-3806
(918) 742-7030
(918) 742-9958
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
21829
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097430A
—
OK
Enumeration date
05/23/2005
Last updated
08/07/2020
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