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MIDTOWN TULSA PEDIATRIC GROUP PLLC NPI 1073150835


NPI Information

NPI: 1073150835
Provider Name: MIDTOWN TULSA PEDIATRIC GROUP PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1724 S HARVARD AVE
TULSA, OK
ZIP 74112
Phone: (918) 740-1384
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MIDTOWN TULSA PEDIATRIC GROUP PLLC is a pediatrics in Tulsa, OK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MIDTOWN TULSA PEDIATRIC GROUP PLLC NPI is 1073150835. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1724 S HARVARD AVE
TULSA, OK
ZIP 74112-826
Phone: (918) 740-1384

The provider's authorized official is Ryan Dunlap .
The authorized official title is Office Manager and has the following contact phone number (918) 740-1384.

The enumeration date for this NPI number is 11/28/2019 and was last updated on 10/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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