South Tulsa Medical Group Llc | |
8803 S 101st East Ave Ste 100 Tulsa OK 74133-5726 | |
(918) 392-5470 | |
Not Available |
Full Name | South Tulsa Medical Group Llc |
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Speciality | Internal Medicine |
Location | 8803 S 101st East Ave, Tulsa, Oklahoma |
Authorized Official Name and Position | Debbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
Authorized Official Contact | 8778929813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Tulsa Medical Group Llc 7100 Commerce Way Suite 180 Brentwood TN 37027-2829 Ph: () - | South Tulsa Medical Group Llc 8803 S 101st East Ave Ste 100 Tulsa OK 74133-5726 Ph: (918) 392-5470 |
NPI Number | 1518998483 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 09/09/2008 |
Identifier | Type | State | Issuer |
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1518998483 | NPI | - | NPPES |
200106940A | Medicaid | OK |
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