Individual
DR. KYLE T PANTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
510 N ELM PL, BROKEN ARROW, OK 74012-2539
(918) 449-9988
(918) 449-9989
Mailing address
1704 S MAPLE AVE, BROKEN ARROW, OK 74012-6671
(918) 258-1522
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
12685
OK
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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