Douglas John Ivins, MD

NPI #1023080090 in Tulsa, Oklahoma

Provider Information

NPI Number
1023080090
Entity Type
Individual
Name
Douglas John Ivins, MD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Feb 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1111 S ST LOUIS AVE
City
Tulsa
ZIP Code
74120
Phone
(918) 619-4600

Specialties & Taxonomy Codes

Specialty
Family Medicine

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