Memorialplace Neurology

NPI #1225169980 in Tulsa, Oklahoma

Provider Information

NPI Number: 1225169980
Entity Type: Organization
Organization Name: Memorialplace Neurology
Primary Specialty: Specialist
Enumeration Date: Mar 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 7633 E 63RD PL
Address 2: SUITE 300
City: Tulsa
State: Oklahoma
ZIP Code: 74133-1273
Phone: (918) 459-4529

Authorized Official

Name: KEN R CASTINO JR.
Title: COLLECTION MANAGER
Phone: (918) 459-4529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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