Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA
Active
Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAIN L MADDY (CEO OU PHYSICIANS)
(405) 271-3932
Entity
Organization
Contact information
Practice address
1705 E 19TH ST, SUITE 502 OU PHYSICIANS TULSA DERMATOLOGY CLINIC, TULSA, OK 74104-5405
(918) 743-6675
Mailing address
4502 E 41ST ST 2GO8, OU PHYSICIANS TULSA - OFFICE CLINICAL SERVICES, TULSA, OK 74134-2553
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
09/11/2025
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