Organization
TULSA PLASTIC SURGERY
Active
Other names
Whitlock Cosmetic and Reconstructive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN RICHARD WHITLOCK MD (OWNER)
(918) 743-5438
Entity
Organization
Contact information
Practice address
3319 E 46TH ST, TULSA, OK 74135
(918) 743-5438
(918) 746-0664
Mailing address
3319 E 46TH ST, TULSA, OK 74135
(918) 743-5438
(918) 746-0664
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
OK18447
OK
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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