| Neurology Llpc | |
|
1919 S Wheeling Ave Suite 707 Tulsa OK 74104-5638 | |
| (918) 747-7518 | |
| (918) 742-7947 |
| Full Name | Neurology Llpc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1919 S Wheeling Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | John E Cattaneo (SENIOR PARTNER) |
| Authorized Official Contact | 9187477518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Llpc 1919 S Wheeling Ave Suite 707 Tulsa OK 74104-5638 Ph: (918) 747-7518 | Neurology Llpc 1919 S Wheeling Ave Suite 707 Tulsa OK 74104-5638 Ph: (918) 747-7518 |
| NPI Number | 1811090400 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 7618999541 |
|---|---|
| Medicare Enrollment ID | O20070222000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811090400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jeremy Salas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447447487 PECOS PAC ID: 0345386934 Enrollment ID: I20091013000378 |
| Provider Name | Todd Burke Dunaway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982624268 PECOS PAC ID: 4587766316 Enrollment ID: I20101230000528 |
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