| Intermed Ok, LLC | |
|
2488 E 81st St Ste 485 Tulsa OK 74137-4265 | |
| (918) 809-7362 | |
| Not Available |
| Full Name | Intermed Ok, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2488 E 81st St Ste 485, Tulsa, Oklahoma |
| Authorized Official Name and Position | William Allen (MANAGING MEMBER) |
| Authorized Official Contact | 9188097362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermed Ok, LLC 9333 S 36th West Ave Tulsa OK 74132-3755 Ph: (918) 809-7362 | Intermed Ok, LLC 2488 E 81st St Ste 485 Tulsa OK 74137-4265 Ph: (918) 809-7362 |
| NPI Number | 1922879816 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922879816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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