South Tulsa Pediatrics Pllj in Tulsa - Pediatrics

South Tulsa Pediatrics Pllj - NPI 1215920293

South Tulsa Pediatrics Pllj is a Pediatrics in Tulsa, Oklahoma. South Tulsa Pediatrics Pllj practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for South Tulsa Pediatrics Pllj is 1215920293. The last update date is 2020-08-22.

South Tulsa Pediatrics Pllj's current location address is 7512 E 91st St, Tulsa, Oklahoma. You can contact this provider via phone number 9187282000 and fax number 9177282000. The mailing address for South Tulsa Pediatrics Pllj is 7512 E 91st St, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Tulsa Pediatrics Pllj
Address 7512 E 91st St, Tulsa, Oklahoma
Phone Number 9187282000
Fax Number 9177282000
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHYS
Authorized Official Name Mayberry A Dawn
Credentials D.O.
Telephone Number 9187282888

NPI Number Detail

NPI Number 1215920293
Provider Enumeration Date 2005-08-25
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 7512 E 91st St
City Tulsa
State Oklahoma (OK)
Post Code 741336050
Phone Number 9187282000
Fax Number 9177282000

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 2732
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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FAQs about South Tulsa Pediatrics Pllj

What is the South Tulsa Pediatrics Pllj's 1215920293?

The South Tulsa Pediatrics Pllj's NPI (National Provider Identifier) Number is 1215920293. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where South Tulsa Pediatrics Pllj is located?

The South Tulsa Pediatrics Pllj is situated at the following address: 7512 E 91St St, Tulsa, OK, 741336050.

What is South Tulsa Pediatrics Pllj's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for South Tulsa Pediatrics Pllj is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

When was the South Tulsa Pediatrics Pllj's 1215920293 issued?

The South Tulsa Pediatrics Pllj's 1215920293 was issued on 2005-08-25.

When was the information regarding South Tulsa Pediatrics Pllj, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to South Tulsa Pediatrics Pllj, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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