OrganizationActive
Avalon Park Pediatrics
NPI 1720204761 · Pediatrics Physician · Tulsa, OK
Provider details
- NPI number
- 1720204761
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Raley, Owner(918) 398-7170
- License
- 20582 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6528 E 101st St
Suite D-1, Pmb 419
Tulsa, OK 74133-6724
Phone: (918) 398-7170
Fax: (918) 398-7199
Approximate (ZIP-level) locationGet directions
Mailing address
7779 East 106th Street
Tulsa, OK 74133-6844
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.