Southern Oklahoma Internal Medicine P C

NPI #1205971694 in Ada, Oklahoma

Provider Information

NPI Number: 1205971694
Entity Type: Organization
Organization Name: Southern Oklahoma Internal Medicine P C
Primary Specialty: Internal Medicine
Enumeration Date: Feb 21, 2007
Last Updated: Dec 10, 2007

Practice Location

Address: 307 N MONTE VISTA ST
City: Ada
State: Oklahoma
ZIP Code: 74820-4607
Phone: (580) 436-4495

Authorized Official

Name: DR. BARBARA K TULEY, M.D.
Title: PRESIDENT
Phone: (580) 436-4495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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