| Tulsa Health Group, Plc | |
|
1435 S Utica Ave Tulsa OK 74104-4649 | |
| (918) 392-4900 | |
| Not Available |
| Full Name | Tulsa Health Group, Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1435 S Utica Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Steven Wiseman (OWNER) |
| Authorized Official Contact | 9183924900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Health Group, Plc Po Box 108809 Oklahoma City OK 73101-8809 Ph: (918) 299-8232 | Tulsa Health Group, Plc 1435 S Utica Ave Tulsa OK 74104-4649 Ph: (918) 392-4900 |
| NPI Number | 1093826034 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8325072168 |
|---|---|
| Medicare Enrollment ID | O20050921000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093826034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven R Wiseman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427168426 PECOS PAC ID: 7719911551 Enrollment ID: I20050921001024 |
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