Individual
JAMES EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 N HARVARD AVE, SUITE E, TULSA, OK 74115-4957
(918) 832-6049
(918) 832-6055
Mailing address
1611 S UTICA AVE, PMB 217, TULSA, OK 74104-4909
(918) 744-2618
(918) 293-3184
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11177
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167080A
—
OK
01
—
P00297872
RR MEDICARE
OK
Enumeration date
04/06/2006
Last updated
12/11/2009
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