Organization
NEUROSURGICAL SPECIALISTS OF TULSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MAROUK D.O. (OWNER)
(918) 583-5131
Entity
Organization
Contact information
Practice address
2128 S ATLANTA PL, TULSA, OK 74114-1755
(918) 583-5131
(918) 592-0670
Mailing address
2128 S ATLANTA PL, TULSA, OK 74114-1755
(918) 583-5131
(918) 592-0670
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100742510A
—
OK
01
—
175215700
DEPARTMENT OF LABOR
OK
Enumeration date
06/01/2006
Last updated
01/10/2025
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