Organization
TBJ ADVANCED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA GUNTER (CEO)
(918) 392-1529
Entity
Organization
Contact information
Practice address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1529
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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