Avalon Park Pediatrics in Tulsa - Pediatrics
Avalon Park Pediatrics - NPI 1720204761
Avalon Park Pediatrics is a Pediatrics in Tulsa, Oklahoma. Avalon Park Pediatrics practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Avalon Park Pediatrics is 1720204761. The last update date is 2020-08-22.
Avalon Park Pediatrics's current location address is 7779 East 106th Street, Tulsa, Oklahoma. You can contact this provider via phone number 9183987170 and fax number 9183987199. The mailing address for Avalon Park Pediatrics is 7779 East 106th Street, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avalon Park Pediatrics |
|---|---|
| Address | 7779 East 106th Street, Tulsa, Oklahoma |
| Phone Number | 9183987170 |
| Fax Number | 9183987199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Raley Brian David |
| Credentials | MD |
| Telephone Number | 9183987170 |
NPI Number Detail
| NPI Number | 1720204761 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7779 East 106th Street |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741336844 |
| Phone Number | 9183987170 |
| Fax Number | 9183987199 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 20582 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the unique provider identifier assigned to Avalon Park Pediatrics?
The Avalon Park Pediatrics has been issued the NPI (National Provider Identifier) 1720204761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Avalon Park Pediatrics located?
The Avalon Park Pediatrics is located at 7779 East 106Th Street, Tulsa, OK 741336844.
What is Avalon Park Pediatrics's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Avalon Park Pediatrics is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720204761 to Avalon Park Pediatrics?
The Centers for Medicare & Medicaid Services originally issued the 1720204761 to Avalon Park Pediatrics on 2007-04-18.
When was the Avalon Park Pediatrics's information last updated?
The Avalon Park Pediatrics's information was last updated on 2020-08-22.