Individual
EDWARD DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3664
Mailing address
1414 E 39TH ST APT 402, TULSA, OK 74105-3162
(806) 576-7229
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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