Most Relevant Information
Provider Data
| NPI Number: | 1003661349 |
| Provider Name: | AMOS ADESOKAN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 217526 |
Most Important Dates
| Enumeration Date: | 04/19/2024 |
| Last Updated: | 04/19/2024 |
Provider Practice Location
12929 E 21ST ST STE G
TULSA
OK
741341015
Practice Location Phone/Fax
| Phone: | 9182095380 |
| Fax: | 9182095112 |
Provider Mailing Location
8666 E 101ST PL
TULSA
OK
741336966
Provider Mailing Phone/Fax
| Phone: | 9185083498 |
| Fax: | 9182095112 |