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Organization
QT QUIKMED LLC
Active
Organization
QT QUIKMED LLC
Active
Parent organization
QUIKTRIP CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIKTRIP CORPORATION
Authorized official
CAROLYN BARTON (PROVIDER RELATIONS MANAGER)
(918) 994-3953
Entity
Organization
Contact information
Practice address
4705 S 129TH EAST AVE, TULSA, OK 74134-7005
(918) 994-3953
Mailing address
4705 S 129TH EAST AVE, TULSA, OK 74134-7005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
08/10/2021
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