NPI 1417011693

Center for Plastic Surgery PC

Organisation Plastic Surgery Physician Tulsa, OK

Practice location

Address: 1844 E 15th St, Tulsa, OK 74104-4611
Phone: (918) 749-7177
Fax: (918) 749-7309

Authorised official

Name: Mark L. Mathers
Title: Physician
Phone: (918) 749-7177

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 2384 (OK)

Other Plastic Surgery providers in Oklahoma →

Registry record

NPI: 1417011693
Entity type: Organization
NPI issued: 21 Dec 2006
Record last updated: 7 Jul 2010

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.