# MEDSTAFF PC

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

## Provider details

- **NPI number:** 1447591706
- **Authorized official:** TONY YOUNG (SECRETARY)
- **Authorized official phone:** (918) 779-7431

## Contact information

- **Practice address:** 1826 E 15TH ST STE D, TULSA, OK 74104-4636
- **Practice address phone:** (918) 732-2990
- **Practice address fax:** (918) 895-8748
- **Mailing address:** 4500 S 129TH EAST AVE STE 191, TULSA, OK 74134-5891
- **Mailing address phone:** (918) 779-7900
- **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:** 03/12/2013
- **Last updated:** 03/12/2013