AVALON PARK PEDIATRICS

TULSA, OK
NPI1720204761
Entity TypeOrganization
Authorized ContactDAVID BRIAN RALEY
Owner
918-398-7170
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: OK  20582)
Enumeration Date2007-04-18
Last Update Date2020-08-22
Business Address
AVALON PARK PEDIATRICS
6528 E 101ST ST SUITE D-1, PMB 419
TULSA, OK 74133-6724
Phone number: 918-398-7170
Mailing Address
AVALON PARK PEDIATRICS
7779 EAST 106TH STREET
TULSA, OK 74133-6844
Phone number: 918-398-7170