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NPI Code Detail

MEDICARE: PREMIER RHEUMATOLOGY OF OKLAHOMA

MEDICARE: PREMIER RHEUMATOLOGY OF OKLAHOMA
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
1332900000XNon-Pharmacy Dispensing Site
2207RR0500XRheumatology Physician

General Provider Information

NPI Number : 1891282877
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER RHEUMATOLOGY OF OKLAHOMA
Provider Business Mailing Address
First Line : 6114 E. 61ST STREET
Second Line :
City : TULSA
State : OK
Zip : 74136
Country : US
Telephone Number : 918-488-8840
Fax Number : 918-488-8842
Provider Business Practice Location Address
First Line : 6114 E. 61ST STREET
Second Line :
City : TULSA
State : OK
Zip : 74136
Country : US
Telephone Number : 918-488-8840
Fax Number : 918-488-8842
Authorized Official
Title or Position : DO/OWNER
Name : DEBBIE GLADD FOLEY
Credential : D.O.
Telephone Number : 918-488-8840
Provider Enumeration Date : 04/16/2018
Last Update Date : 02/16/2026

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Directions to “PREMIER RHEUMATOLOGY OF OKLAHOMA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.