Organization
CITY OF TUTTLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L YOUNG (DIRECTOR)
(405) 381-4464
Entity
Organization
Contact information
Practice address
4 SE 2ND ST., TUTTLE, OK 73089
(405) 381-4464
(405) 381-2322
Mailing address
PO BOX 10, TUTTLE, OK 73089
(405) 381-4464
(405) 381-2322
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
EMS068
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100818170A
—
OK
Enumeration date
05/27/2005
Last updated
01/25/2010
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