Individual
NICHOLAS J PETTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-6980
Mailing address
6161 S YALE AVE, TULSA, OK 74136-1902
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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