Unknown Individual – Otolaryngology Physician, NPI 1366441115
Otolaryngology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
South Yale Avenue, Braden Park, Tulsa, Tulsa County, Oklahoma, 74137, United States
TULSA, OK 741363361
Phone: (918) 488-6045
Fax: (918) 488-6098
Type: Mailing
401, South Yale Avenue, White City, Tulsa, Tulsa County, Oklahoma, 74112, United States
TULSA, OK 741367818
Phone: (918) 502-9555
Fax: (918) 502-9559
Type: Location
6160 S Yale Ave
Tulsa, OK 741361930
Phone: (918) 481-6306
Fax: (918) 497-3175
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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Educational use only—not medical, billing, or legal advice.
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 74136)
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