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Individual

DR. CARL ERWIN PFANSTIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1220 N ELM PLACE, BROKEN ARROW, OK 74012
(918) 258-1955
(918) 251-5802
Mailing address
1220 N ELM PL, BROKEN ARROW, OK 74012
(918) 258-1955
(918) 251-5802

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12938
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100064920A
OK
Enumeration date
06/01/2006
Last updated
09/20/2011
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