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An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Retina Specialist |
207WX0107X | 18 | Physician/Ophthalmology | |
Cornea and External Diseases Specialist |
207WX0120X | 18 | Physician/Ophthalmology | |
Ophthalmology |
207W00000X | 18 | Physician/Ophthalmology | |
Optometrist |
152W00000X | 41 | Optometry |
| NPI Number | 1699236307 |
| LBN Legal business name | SOUTH TULSA RETINA |
| Authorized official | KRISTY PHILLIPS - (DIRECTOR OF BUSINESS AFFAIRS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/26/2019 |
| Last updated | 11/27/2023 - About 3 years ago |
| Identifiers | n/a |
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SOUTH TULSA RETINA
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SOUTH TULSA RETINA