Organization
OSTEOPATHIC CARDIOVASCULAR SURG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DULLYE DO (SURGEON)
(918) 585-3372
Entity
Organization
Contact information
Practice address
802 S JACKSON #200, TULSA, OK 74127-9047
(918) 585-3372
(918) 599-9116
Mailing address
802 S JACKSON #200, TULSA, OK 74127-9047
(918) 585-3372
(918) 599-9116
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1569
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
1962
OK
Other
Enumeration date
08/26/2006
Last updated
08/22/2020
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