Trevor Dudark, | |
1111 W 17th St, Tulsa, OK 74107-1886 | |
(918) 582-1972 | |
Not Available |
Full Name | Trevor Dudark |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1111 W 17th St, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184299901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 8148 (Oklahoma) | Primary |
Entity Name | Emergency Services Of Oklahoma Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
Entity Name | South Central Emergency Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
Entity Name | Emergency Physicians Of Mid-america Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063825297 PECOS PAC ID: 2062638661 Enrollment ID: O20140716001692 |
Mailing Address | Practice Location Address |
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Trevor Dudark, 7867 S Union Ave Apt 1409, Tulsa, OK 74132-2753 Ph: () - | Trevor Dudark, 1111 W 17th St, Tulsa, OK 74107-1886 Ph: (918) 582-1972 |
Hoi Y Chan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-6161 | |
Dr. Cory Brit Kebert, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1717 S Utica Ave Ste A, Tulsa, OK 74104 Phone: 981-748-7557 Fax: 918-748-7514 | |
Mr. Michael Daniel Figueiredo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 | |
Dr. Julie Christa Dodson, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-579-1000 | |
Steven L. Nussbaum, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9716 Riverside Parkway, Suite 100, Tulsa, OK 74137 Phone: 918-299-4333 Fax: 918-299-4330 | |
Dr. Stephen Hodges Thomas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-660-3831 Fax: 918-660-3821 | |
Eric Brady Woolley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-949-1884 |