| Pacific Physician Services, LLC | |
|
8803 S 101st East Ave Ste. 145 Tulsa OK 74133-5726 | |
| (918) 250-2033 | |
| Not Available |
| Full Name | Pacific Physician Services, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 8803 S 101st East Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Physician Services, LLC 8803 S 101st East Ave Ste. 145 Tulsa OK 74133-5726 Ph: (918) 250-2033 | Pacific Physician Services, LLC 8803 S 101st East Ave Ste. 145 Tulsa OK 74133-5726 Ph: (918) 250-2033 |
| NPI Number | 1386607216 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386607216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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