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NPI Code Detail

MEDICARE: DR. WESLEY KEITH MAPLES M.D.

MEDICARE: DR. WESLEY KEITH MAPLES M.D.
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
1207R00000XInternal Medicine Physician18600OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013974757
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WESLEY KEITH MAPLES M.D.
Provider Business Mailing Address
First Line : DEPT 2521
Second Line :
City : TULSA
State : OK
Zip : 74182-0001
Country : US
Telephone Number : 918-296-8060
Fax Number : 918-516-0445
Provider Business Practice Location Address
First Line : 6901 S OLYMPIA AVE
Second Line :
City : TULSA
State : OK
Zip : 74132-1843
Country : US
Telephone Number : 918-296-8060
Fax Number : 918-516-0445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 03/20/2009

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