Individual
ALFRED GARTZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9716 RIVERSIDE PKWY, STE 100, TULSA, OK 74137
(918) 299-4333
(918) 299-4330
Mailing address
9716 RIVERSIDE PKWY, STE 100, TULSA, OK 74137
(918) 299-4333
(918) 299-4330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA854
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200100970A
—
OK
Enumeration date
09/13/2006
Last updated
11/15/2013
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