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NPI Code Detail

MEDICARE: EAR, NOSE & THROAT SPECIALISTS OF TULSA, LLP

MEDICARE: EAR, NOSE & THROAT SPECIALISTS OF TULSA, LLP
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
1207Y00000XOtolaryngology Physician19093OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11972593622OTHEROKEHR INCENTIVE PROGRAM
21245229657OTHEROKEHR INCENTIVE PROGRAM
31154310555OTHEROKEHR INCENTIVE PROGRAM

General Provider Information

NPI Number : 1093873168
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAR, NOSE & THROAT SPECIALISTS OF TULSA, LLP
Provider Business Mailing Address
First Line : 6802 S OLYMPIA AVE STE 200
Second Line :
City : TULSA
State : OK
Zip : 74132-1826
Country : US
Telephone Number : 918-388-9090
Fax Number : 918-388-9093
Provider Business Practice Location Address
First Line : 6802 S OLYMPIA AVE STE 200
Second Line :
City : TULSA
State : OK
Zip : 74132-1826
Country : US
Telephone Number : 918-388-9090
Fax Number : 918-388-9093
Authorized Official
Title or Position : BILLING REP
Name : MRS. CYNTHIA DENISE ANDERSON
Credential :
Telephone Number : 918-388-9749
Provider Enumeration Date : 12/04/2006
Last Update Date : 10/10/2018

Similar Medicare Providers

1922003946 — MRS. KELLY CATHERINE SPIVA M.A.,CCC-A
Practice Location Address:
6802 S OLYMPIA AVE STE 200
TULSA, OK
74132-1826
Practice Phone: 918-388-9090
Practice Fax: 918-388-9741
1972593622 — DR. TOM A HAMILTON DO
Practice Location Address:
6802 S OLYMPIA AVE STE 200
TULSA, OK
74132-1826
Practice Phone: 918-388-9740
Practice Fax: 918-388-9741
1003087495 — ALLISON P FINCH M.S.,CCC-A
Practice Location Address:
6802 S OLYMPIA AVE STE 200
TULSA, OK
74132-1826
Practice Phone: 918-388-9740
Practice Fax: 918-388-9741
1578719530 — JOAN M BURNS M.A.,CCC-A
Practice Location Address:
6802 S OLYMPIA AVE STE 200
TULSA, OK
74132-1826
Practice Phone: 918-388-9740
Practice Fax: 918-388-9741
1679890701 — DR. DANIEL MARTIN HARWELL M.D.
Practice Location Address:
6802 S OLYMPIA AVE , SUITE #300
TULSA, OK
74132-1826
Practice Phone: 918-749-0762
Practice Fax: 918-744-4246
1154614899 — BARBRA S MORYKWAS AU.D.
Practice Location Address:
6802 S OLYMPIA AVE STE 200
TULSA, OK
74132-1826
Practice Phone: 918-388-9090
Practice Fax: 918-388-9741

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