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Organization
MEDSTAFF PC
Active
Organization
MEDSTAFF PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY YOUNG (SECRETARY)
(918) 779-7431
Entity
Organization
Contact information
Practice address
1 LEGGETT RD, CARTHAGE, MO 64836-9649
(417) 237-6208
(404) 698-2613
Mailing address
4500 S 129TH EAST AVE, STE 191, TULSA, OK 74134-5801
(918) 779-7900
(918) 779-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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