DOUGLAS JOHN IVINS

TULSA, OK
NPI1023080090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  23164)
Enumeration Date2006-02-03
Last Update Date2007-07-08
Business Address
-- DOUGLAS JOHN IVINS MD
1111 S ST LOUIS AVE
TULSA, OK 74120
Phone number: 918-619-4600
Mailing Address
-- DOUGLAS JOHN IVINS MD
PO BOX 268838
OKLAHOMA CITY, OK 73126-8838
Phone number: 918-660-3632
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