Individual
NICK CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2448 E 81ST ST STE 400, TULSA, OK 74137-4294
(918) 710-4222
(539) 867-3947
Mailing address
7912 E. 31ST COURT, TULSA, OK 74145-1334
(918) 743-8200
(918) 743-8609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4745
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200251920A
—
OK
Enumeration date
07/02/2009
Last updated
09/12/2024
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