Individual
DR. GEORGE MUMFORD PENDELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9001 S 101ST EAST AVE, STE 270, TULSA, OK 74133-5708
(918) 392-7000
(918) 392-7013
Mailing address
9001 S 101ST EAST AVE, STE 270, TULSA, OK 74133-5708
(918) 392-7000
(918) 392-7013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18257
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131790A
—
OK
Enumeration date
03/24/2006
Last updated
05/06/2014
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