Organization
OKLAHOMA VEIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA J. MANLY (OFFICE MANAGER)
(918) 392-0880
Entity
Organization
Contact information
Practice address
9906 RIVERSIDE PKWY, TULSA, OK 74137-7409
(918) 298-8080
(918) 528-3841
Mailing address
7322 E 91ST ST, TULSA, OK 74133-6016
(918) 392-0880
(918) 392-0990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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