South Pointe Pediatrics, Pllc
NPI #1235399122 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1235399122
- Entity Type
- Organization
- Organization Name
- South Pointe Pediatrics, Pllc
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Jun 13, 2008
- Last Updated
- Jan 10, 2017
Practice Location
- Address
- 1615 S EUCALYPTUS AVE
- Address 2
- SUITE 210
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-6159
- Phone
- (918) 254-6822
Authorized Official
- Name
- JULIE G SULLIVAN, M.D.
- Title
- OWNER
- Phone
- (918) 254-6822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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