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NPI Code Detail

MEDICARE: DR. LOUISE PRICE DO

MEDICARE: DR. LOUISE PRICE DO
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
1207QA0505XAdult Medicine Physician3594OK

General Provider Information

NPI Number : 1649330150
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUISE PRICE DO
Provider Business Mailing Address
First Line : 2323 S HARVARD AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-3301
Country : US
Telephone Number : 918-293-2140
Fax Number : 918-712-7164
Provider Business Practice Location Address
First Line : 2323 S HARVARD AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-3301
Country : US
Telephone Number : 918-293-2140
Fax Number : 918-712-7164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LOUISE PRICE DO” Practice Location

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