| Mission Physician Services Of California, Llc | |
|
3220 S Peoria Ave Ste 101 Tulsa OK 74105-2006 | |
| (918) 770-4441 | |
| (918) 712-9880 |
| Full Name | Mission Physician Services Of California, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3220 S Peoria Ave Ste 101, Tulsa, Oklahoma |
| Authorized Official Name and Position | Kevin M. Webb (PRESIDENT) |
| Authorized Official Contact | 9187704441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Physician Services Of California, Llc 3220 S Peoria Ave Ste 101 Tulsa OK 74105-2006 Ph: (918) 770-4441 | Mission Physician Services Of California, Llc 3220 S Peoria Ave Ste 101 Tulsa OK 74105-2006 Ph: (918) 770-4441 |
| NPI Number | 1033429436 |
|---|---|
| Provider Enumeration Date | 10/19/2010 |
| Last Update Date | 12/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033429436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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