East Tulsa Medical Group
East Tulsa Medical Group provides Family Medicine Physician services in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.
- Licensed in
- OK
- In the registry since
- 2014
Practice location Address checks out
11445 E 20th StTulsa, OK 74128-6421 Not confirmed with CMS for 12 years — call before visiting
Phone: (918) 437-6830
Fax: (918) 437-6171
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 1567 (OK) |
|---|
Record details
| NPI number | 1114336534 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeff Barentine — Partner · (918) 437-6830 |
| NPI enumerated | August 11, 2014 |
| Last updated in NPPES | August 11, 2014 |
| Mailing address | 11445 E 20th St, Tulsa, OK 74128-6421 |
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