institution
Warren Clinic Medicaid Group 100739490b
General Practice Physician in Tulsa, Oklahoma
NPI 1316105703

Warren Clinic Medicaid Group 100739490b is a General Practice Physician based in Tulsa, OK. Warren Clinic Medicaid Group 100739490b practices in Tulsa, OK. The NPI Number for Warren Clinic Medicaid Group 100739490b is 1316105703 and holds a License No. (Oklahoma).

The current practice location address for Warren Clinic Medicaid Group 100739490b is 6600 S Yale Ave, Tulsa, OK and can be reached out via phone at 918-488-6001.

Location: 6600 S Yale Ave, Tulsa, OK, 74136-3310
institution
Provider Profile Details
NPI Number
1316105703
Provider Name
Warren Clinic Medicaid Group 100739490b
Credential
Provider Entity Type
Organization
Address
6600 S Yale Ave, Tulsa, OK, 74136-3310
Phone Number
918-488-6001
Fax Number
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100739490B 05 OK
institution
Provider Business Practice Location Address Details
Address
6600 S Yale Ave
City
State
Zip
74136-3310
Phone Number
918-488-6001
Fax Number
person
Provider Business Mailing Address Details
Address
6600 S Yale Ave
City
State
Zip
74136-3310
Phone Number
918-488-6001
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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