Warren Clinic Medicaid Group 100739490B
Warren Clinic Medicaid Group 100739490B provides General Practice Physician services in Tulsa, Oklahoma. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
6600 S Yale Ave Ste 1400Tulsa, OK 74136-3310
Phone: (918) 488-6001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1316105703 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Warren Clinic |
| Authorized official | Cathey Duplissey — Credentialing Coordinator · (918) 488-6687 |
| NPI enumerated | June 2, 2008 |
| Last updated in NPPES | December 13, 2018 |
| Mailing address | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3310 |
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Warren Clinic Inc
6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3310 · (918) 488-6001