Search › Oklahoma › 171M00000X
Charles Ivy
NPI 1497369573 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4620 S Vandalia Ave
Tulsa, OK 74135 - Phone
- (918) 565-7151
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2020-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma