Organization
ALTERNATIVE MEDICINE OF TULSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA DENISE SHEHAN RN (VICE PRESIDENT OWNER)
(918) 660-0031
Entity
Organization
Contact information
Practice address
4845 S SHERIDAN RD STE 509, TULSA, OK 74145-5719
(918) 660-0031
(918) 660-0056
Mailing address
4845 S SHERIDAN RD STE 509, TULSA, OK 74145-5719
(918) 660-0031
(918) 660-0056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10210
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10210
OK ST BOARD OF MED LIC
OK
01
—
1027261
NCCPA
OK
01
—
408
OK STATE BRD OF MED LIC
OK
Enumeration date
11/27/2006
Last updated
08/22/2020
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