Individual
DEREK KNOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29223
OK
Other
Enumeration date
04/26/2012
Last updated
02/10/2016
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