Midtown Tulsa Pediatric Group Pllc

NPI #1073150835 in Tulsa, Oklahoma

Provider Information

NPI Number: 1073150835
Entity Type: Organization
Organization Name: Midtown Tulsa Pediatric Group Pllc
Primary Specialty: Pediatrics
Enumeration Date: Nov 28, 2019
Last Updated: Oct 5, 2020

Practice Location

Address: 1724 S HARVARD AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74112-6826
Phone: (918) 740-1384

Authorized Official

Name: RYAN DUNLAP
Title: OFFICE MANAGER
Phone: (918) 740-1384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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