| South Tulsa Family Pracitce Inc | |
|
8136 S Memorial Drive Tulsa OK 74133-4309 | |
| (918) 461-2441 | |
| (918) 461-2469 |
| Full Name | South Tulsa Family Pracitce Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8136 S Memorial Drive, Tulsa, Oklahoma |
| Authorized Official Name and Position | Frank David Kondos (PRESIDENT) |
| Authorized Official Contact | 9184612441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Tulsa Family Pracitce Inc 8136 S Memorial Drive Tulsa OK 74133-4309 Ph: (918) 461-2441 | South Tulsa Family Pracitce Inc 8136 S Memorial Drive Tulsa OK 74133-4309 Ph: (918) 461-2441 |
| NPI Number | 1982882692 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982882692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14843 (Oklahoma) | Primary |
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