Organization
STATE OF OKLAHOMA
Active
Other names
State of Oklahoma - OSU Center for Health Sciences College of Osteopat
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA WILSON MDS, LPC (DIRECTOR OF CLINICAL FINANCIAL SERV)
(918) 561-8322
Entity
Organization
Contact information
Practice address
2345 SOUTHWEST BLVD, SUITE 100, TULSA, OK 74107-2705
(918) 561-5701
(918) 561-8571
Mailing address
2401 SOUTHWEST BLVD., TULSA, OK 74107-2705
(918) 561-5701
(918) 561-8571
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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