Individual
DR. LARRY KENNETH GODTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
9322 E. 41ST, TULSA, OK 74145-3721
(918) 764-7243
(918) 764-7296
Mailing address
607 W CHERRY ST, DRUMRIGHT, OK 74030-2415
(918) 764-7243
(918) 764-7296
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9066
OK
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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