Individual
ANDREW DAWSON PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
Mailing address
5217 S VANDALIA AVE APT 1H, TULSA, OK 74135-4063
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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