Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avalon Park Pediatrics

Organization Pediatrics Physician · NPI 1720204761

Avalon Park Pediatrics is a Pediatrics Physician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

6528 E 101st St Ste D-1 Pmb 419
Tulsa, OK 74133-6724
Phone: (918) 398-7170
Fax: (918) 398-7199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 20582 (OK)

Record details

NPI number1720204761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Raley — Owner · (918) 398-7170
NPI enumeratedApril 18, 2007
Last updated in NPPESAugust 22, 2020
Mailing address7779 East 106th Street, Tulsa, OK 74133-6844

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