# MEDSTAFFPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053732875
- **Authorized official:** PHILIP KURTZ (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (918) 779-7431

## Contact information

- **Practice address:** 311 E RAY FINE BLVD, UNIT \#3, ROLAND, OK 74954-5366
- **Practice address phone:** (918) 427-2224
- **Practice address fax:** (539) 777-2536
- **Mailing address:** 4500 S 129TH EAST AVE STE 191, TULSA, OK 74134-5891
- **Mailing address phone:** (918) 779-7400
- **Mailing address fax:** (918) 779-7425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2013
- **Last updated:** 12/20/2013