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NPI Code Detail

MEDICARE: COGITO ERGO SUM PLLC

MEDICARE: COGITO ERGO SUM PLLC
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
12084P0800XPsychiatry Physician21962OK

General Provider Information

NPI Number : 1417170325
Entity Type Code : Organization
Provider Name (Legal Business Name) : COGITO ERGO SUM PLLC
Provider Business Mailing Address
First Line : 1233 E 31ST CT
Second Line :
City : TULSA
State : OK
Zip : 74105-2007
Country : US
Telephone Number : 918-808-2473
Fax Number :
Provider Business Practice Location Address
First Line : 1408 S DENVER AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-3423
Country : US
Telephone Number : 918-808-2473
Fax Number :
Authorized Official
Title or Position : PHYSICIAN OWNER
Name : DR. DAVID V. EAKIN II
Credential : M.D.
Telephone Number : 918-808-2473
Provider Enumeration Date : 04/10/2007
Last Update Date : 08/22/2020

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