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Contact Information

CHARLES C POWELL, MD
7501 RIVERSIDE PKWY
TULSA, OK74136
 Phone: 918-710-4200
 Fax: 918-403-6331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHARLES C POWELL · (Male)

NPI Number 1003887936
Status Active
Credentials MD
Entity Individual
Enumeration date 01/30/2006
Last updated 07/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 23749
  • OK Medicaid 200021790A
Hospital affiliation(s)
  • ST JOHN MEDICAL CENTER INC - (Acute Care)
    1923 SOUTH UTICA AVENUE
    TULSA, OK 74104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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