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NPI Code Detail

MEDICARE: MEDICAL & COSMETIC CENTER

MEDICARE: MEDICAL & COSMETIC CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2649OK

General Provider Information

NPI Number : 1518186394
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL & COSMETIC CENTER
Provider Business Mailing Address
First Line : PO BOX 701272
Second Line :
City : TULSA
State : OK
Zip : 74170-1272
Country : US
Telephone Number : 918-749-3187
Fax Number : 918-749-3187
Provider Business Practice Location Address
First Line : 4845 S SHERIDAN RD
Second Line : 411
City : TULSA
State : OK
Zip : 74145-5751
Country : US
Telephone Number : 918-749-3187
Fax Number : 918-749-3187
Authorized Official
Title or Position : PHYSICIAN
Name : DR. J. SNELLING
Credential : D.O.
Telephone Number : 918-749-3187
Provider Enumeration Date : 04/24/2007
Last Update Date : 08/22/2020

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Directions to “MEDICAL & COSMETIC CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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