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Individual

DR. CHARLES WALTER GARRETT III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6606 S YALE AVE, SUITE 205, TULSA, OK 74136-3364
(918) 488-6608
(918) 488-6609
Mailing address
6606 S YALE AVE, SUITE #205, TULSA, OK 74136-3364
(918) 488-6608
(918) 488-6609

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17128
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004116209
AETNA
OK
05
100101670A
OK
01
180027938
RAILROAD MEDICARE
OK
Enumeration date
08/05/2006
Last updated
06/02/2014
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