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Individual

PHILLIP TYLER PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10507 E 91ST ST STE 310, TULSA, OK 74133-5587
(918) 307-3200
(918) 307-3210
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5615
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200564520A
OK
Enumeration date
02/28/2013
Last updated
01/29/2024
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