Individual
MACKENZIE NICOLE TUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7858 S OLYMPIA AVE, TULSA, OK 74132-1857
(918) 986-9250
(918) 986-9205
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2600
OK
Other
Enumeration date
11/10/2015
Last updated
07/02/2024
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