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1023080090
DOUGLAS JOHN IVINS
TULSA, OK
NPI
1023080090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 23164)
Enumeration Date
2006-02-03
Last Update Date
2007-07-08
Business Address
-- DOUGLAS JOHN IVINS MD
1111 S ST LOUIS AVE
TULSA, OK 74120
Phone number: 918-619-4600
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Mailing Address
-- DOUGLAS JOHN IVINS MD
PO BOX 268838
OKLAHOMA CITY, OK 73126-8838
Phone number: 918-660-3632
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