Provider Demographics
NPI:1487749891
Name:POAG, WARREN L (MD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:L
Last Name:POAG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1145 S UTICA AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4013
Mailing Address - Country:US
Mailing Address - Phone:918-579-2981
Mailing Address - Fax:918-579-1262
Practice Address - Street 1:1809 E 13TH ST STE 402
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4431
Practice Address - Country:US
Practice Address - Phone:918-579-3855
Practice Address - Fax:918-550-6565
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2025-01-09
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Provider Licenses
StateLicense IDTaxonomies
OK44239207XS0106X
MOT2002012492208600000X
IA38423208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery