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Organization
MEDSTAFFPC
Active
Organization
MEDSTAFFPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP KURTZ (CHIEF EXECUTIVE OFFICER)
(918) 779-7431
Entity
Organization
Contact information
Practice address
119 1/2 BRYAN ST, DAYTON, TX 77535-2661
(936) 681-8110
(539) 777-2507
Mailing address
4500 S 129TH EAST AVE STE 191, TULSA, OK 74134-5891
(918) 779-7400
(918) 779-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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