AHS OKLAHOMA PHYSICIAN GROUP LLC NPI 1467836692

NPI Information

AHS OKLAHOMA PHYSICIAN GROUP, LLC is an urgent care clinic center in Tulsa, OK. AHS OKLAHOMA PHYSICIAN GROUP, LLC NPI is 1467836692. The provider is registered as an organization entity type.
The provider Is Doing Business As Utica Park Clinic Urgent Care.

The provider's business location address is:

9245 S MINGO RD
TULSA, OK
ZIP 74133-793
Phone: (918) 574-0250
Fax: (918) 574-0259

The provider's authorized official is James E Kaltenbacher .
The authorized official title is Chief Executive Officer and has the following contact phone number (918) 579-5008.

The CLIA number assigned to this NPI record is 37D2089523 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/17/2015 and was last updated on 7/17/2015.

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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