Provider First Line Business Practice Location Address:
4502 E 41ST STREET, 2G08
Provider Second Line Business Practice Location Address:
OU PHYSICIANS TULSA COMMUNITY HEALTH
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74135-2529
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-660-3632
Provider Business Practice Location Address Fax Number:
918-660-3631
Provider Enumeration Date:
11/18/2008