Healthcare Provider Details

I. General information

NPI: 1598785701
Provider Name (Legal Business Name): OK CENTER FOR ARTHRITIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 TERRACE DR
TULSA OK
74104-4626
US

IV. Provider business mailing address

1430 TERRACE DR
TULSA OK
74104-4626
US

V. Phone/Fax

Practice location:
  • Phone: 918-748-8024
  • Fax: 918-748-8249
Mailing address:
  • Phone: 918-748-8024
  • Fax: 918-748-8249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: RONNI WESTMORELAND
Title or Position: OFFICE MANAGER
Credential:
Phone: 918-748-8024