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Organization

ELECTRODIAGNOSTIC MEDICINE OF TULSA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY S HALSELL D.O (PROVIDER/PHYSICIAN)
(918) 728-8020
Entity
Organization

Contact information

Practice address
9308 S TOLEDO AVE, TULSA, OK 74137-2739
(918) 728-8020
(918) 728-8019
Mailing address
9308 S TOLEDO AVE, TULSA, OK 74137-2739
(918) 615-6581
(918) 893-1242

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician

Other

Enumeration date
08/21/2008
Last updated
11/21/2015
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