Organization
INTERMED OK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ALLEN (MANAGING MEMBER)
(918) 809-7362
Entity
Organization
Contact information
Practice address
2488 E 81ST ST STE 485, TULSA, OK 74137-4265
(918) 809-7362
Mailing address
9333 S 36TH WEST AVE, TULSA, OK 74132-3755
(918) 809-7362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/12/2024
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