South Tulsa Pediatrics Pllj
South Tulsa Pediatrics Pllj provides Pediatrics Physician services in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2005.
- Licensed in
- OK
- In the registry since
- 2005
Practice location Address checks out
7512 E 91st StTulsa, OK 74133-6050
Phone: (918) 728-2000
Fax: (917) 728-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 2732 (OK) |
|---|
Record details
| NPI number | 1215920293 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dawn Mayberry — Owner/Physician · (918) 728-2888 |
| NPI enumerated | August 25, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 7512 E 91st St, Tulsa, OK 74133-6050 |
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