Intermed Ok, Llc | |
2488 E 81st St Ste 485 Tulsa OK 74137-4265 | |
(918) 809-7362 | |
Not Available |
Full Name | Intermed Ok, Llc |
---|---|
Speciality | Internal Medicine |
Location | 2488 E 81st St Ste 485, Tulsa, Oklahoma |
Authorized Official Name and Position | William Allen (MANAGING MEMBER) |
Authorized Official Contact | 9188097362 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intermed Ok, Llc 9333 S 36th West Ave Tulsa OK 74132-3755 Ph: (918) 809-7362 | Intermed Ok, Llc 2488 E 81st St Ste 485 Tulsa OK 74137-4265 Ph: (918) 809-7362 |
NPI Number | 1922879816 |
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Provider Enumeration Date | 01/10/2024 |
Last Update Date | 01/12/2024 |
Identifier | Type | State | Issuer |
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1922879816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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