Unknown Individual – Pediatric Surgery Physician, NPI 1346292802
Pediatric Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1515, North Harvard Avenue, North Evanston Place, Tulsa, Tulsa County, Oklahoma, 74115, United States
STE E
TULSA, OK 741154957
Phone: (918) 832-6049
Fax: (918) 832-6055
Type: Mailing
Holliman Medical Building, 1705, East 19th Street, Yorktown, Tulsa, Tulsa County, Oklahoma, 74104, United States
STE 701
TULSA, OK 741045405
Phone: (918) 748-7878
Fax: (918) 748-7806
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74115)
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