South Pointe Pediatrics, Pllc
Pediatric Adolescent Medicine
South Pointe Pediatrics, Pllc is a Broken Arrow, Oklahoma based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
1615 S Eucalyptus Ave, Suite 210, Broken Arrow, Oklahoma - 74012-6159. They can be contacted on phone at
918-254-6822 and fax number 918-254-6823.
NPI number (Unique professional ID) for South Pointe Pediatrics, Pllc is
1235399122 which was assigned by NPPES on 13 Jun, 2008 and it was last updated on 10 Jan, 2017.
South Pointe Pediatrics, Pllc license number is
23824 for Pediatrics Adolescent Medicine (2080A0000X) in Oklahoma.
South Pointe Pediatrics, Pllc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
South Pointe Pediatrics, Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | South Pointe Pediatrics, Pllc |
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Business Address:
South Pointe Pediatrics, Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1615 S Eucalyptus Ave, Suite 210
Broken Arrow, OK, 74012-6159
United States |
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| Phone Number : | 918-254-6822 |
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| Fax Number : | 918-254-6823 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235399122 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Jun, 2008 |
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| Last Updated On : | 10 Jan, 2017 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Julieg Sullivan |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 918-254-6822 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Pointe Pediatrics, Pllc are as mentioned. Primary taxonomy code for South Pointe Pediatrics, Pllc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 23824 | OK |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1615 S Eucalyptus Ave, Suite 210
Broken Arrow, OK, 74012-6159
United States |
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| Phone Number : | 918-254-6822 |
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| Fax Number : | 918-254-6823 |
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Business Location:
Patients can refer following map for directions to
South Pointe Pediatrics, Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.