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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