POLY TAN

TULSA, OK
NPI1922018464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OK  20986)
Enumeration Date2006-08-08
Last Update Date2007-07-09
Business Address
Dr. POLY TAN M.D.
1620 E 12TH ST
TULSA, OK 74120-5407
Phone number: 918-582-2131
Mailing Address
Dr. POLY TAN M.D.
7422 W 40TH ST
TULSA, OK 74107-4853
Phone number: 918-447-0495
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