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NPI Code Detail

MEDICARE: JAMES T LOVE JR. MD

MEDICARE: JAMES T LOVE JR. MD
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
1207KA0200XAllergy Physician19665OK

General Provider Information

NPI Number : 1356322556
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES T LOVE JR. MD
Provider Business Mailing Address
First Line : 9311 S MINGO RD
Second Line :
City : TULSA
State : OK
Zip : 74133-5702
Country : US
Telephone Number : 918-307-1613
Fax Number : 918-307-2454
Provider Business Practice Location Address
First Line : 9311 S MINGO RD
Second Line :
City : TULSA
State : OK
Zip : 74133-5702
Country : US
Telephone Number : 918-307-1613
Fax Number : 918-307-2454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 03/14/2008

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