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1215975883
TULSA PEDIATRIC AND ADOLESCENT MEDICINE, PC
TULSA, OK
NPI
1215975883
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Entity Type
Organization
Authorized Contact
JOEL K GIST
President
918-748-7620
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-06-03
Last Update Date
2020-08-22
Business Address
TULSA PEDIATRIC AND ADOLESCENT MEDICINE, PC
1919 S WHEELING AVE SUITE 304
TULSA, OK 74104-5638
Phone number: 918-748-7620
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Mailing Address
TULSA PEDIATRIC AND ADOLESCENT MEDICINE, PC
1919 S WHEELING AVE SUITE 304
TULSA, OK 74104-5638
Phone number: 918-748-7620
Copy
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