Organization
QT QUIKMED LLC
Active
Parent organization
QUIKTRIP CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIKTRIP CORPORATION
Authorized official
CAROLYN BARTON (PROVIDER RELATIONS MANAGER)
(918) 994-3953
Entity
Organization
Contact information
Practice address
4705 S 129TH EAST AVE, TULSA, OK 74134-7005
(918) 994-3953
Mailing address
4705 S 129TH EAST AVE, TULSA, OK 74134-7005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
08/10/2021
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