# MEDSTAFFPC

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

## Provider details

- **NPI number:** 1588088157
- **Authorized official:** PHILIP KURTZ (CEO)
- **Authorized official phone:** (918) 779-7431

## Contact information

- **Practice address:** 12633 OLIVE BLVD, ST LOUIS, MO 63141-6313
- **Practice address phone:** (314) 205-1988
- **Practice address fax:** (314) 205-1982
- **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:** 02/18/2014
- **Last updated:** 02/18/2014