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
311 E RAY FINE BLVD, UNIT #3, ROLAND, OK 74954-5366
(918) 427-2224
(539) 777-2536
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
12/20/2013
Last updated
12/20/2013
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