Organization
DOMINIC LOSACCO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC LOSACCO MD (PRESIDENT)
(918) 491-5767
Entity
Organization
Contact information
Practice address
6565 S YALE, SUITE 706, TULSA, OK 74136-8308
(918) 491-5767
(918) 491-5771
Mailing address
6565 S YALE, SUITE 706, TULSA, OK 74136-8308
(918) 491-5767
(918) 491-5771
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10161
OK
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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