Northeastern Oklahoma Urology, P.c.

NPI #1619057551 in Claremore, Oklahoma

Provider Information

NPI Number: 1619057551
Entity Type: Organization
Organization Name: Northeastern Oklahoma Urology, P.c.
Primary Specialty: Specialist
Enumeration Date: Oct 16, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 201 W BLUE STARR DRIVE
City: Claremore
State: Oklahoma
ZIP Code: 74017
Phone: (918) 341-1311

Authorized Official

Name: CLARK TINGLEAF, M.D., M.D.
Title: PHYSICIAN
Phone: (918) 341-1311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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