NPI 1164651394

Aesthetic Surgery of Tulsa, PLLC

Organisation Plastic and Reconstructive Surgery Physician Tulsa, OK

Practice location

Address: 6802 S Olympia Ave Suite G113, Tulsa, OK 74132-1823
Phone: (918) 960-3033
Fax: (918) 960-3035
Mailing address: 11913 S Sandusky Ave, Tulsa, OK 74137-1801

Authorised official

Name: Robert E Mitchell
Title: President
Phone: (918) 504-0364

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 22998 (OK)

Other Surgery providers in Oklahoma →

Registry record

NPI: 1164651394
Entity type: Organization
NPI issued: 9 Jul 2009
Record last updated: 9 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.