AESTHETIC SURGERY OF TULSA PLLC NPI 1164651394

NPI Information

AESTHETIC SURGERY OF TULSA, PLLC is a plastic and reconstructive surgery surgery in Tulsa, OK. The provider is a surgeon who specializes in plastic and reconstructive surgery. AESTHETIC SURGERY OF TULSA, PLLC NPI is 1164651394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6802 S OLYMPIA AVE
SUITE G113
TULSA, OK
ZIP 74132-823
Phone: (918) 960-3033
Fax: (918) 960-3035

The provider's authorized official is Robert E Mitchell .
The authorized official title is President and has the following contact phone number (918) 504-0364.

The enumeration date for this NPI number is 7/9/2009 and was last updated on 7/9/2009.

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:

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