Organization
ANTIDOTE MEDICAL PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA MARIE KAUFFMAN (OFFICE ASSISTANT)
(539) 444-8082
Entity
Organization
Contact information
Practice address
9220 S TOLEDO CT STE B, TULSA, OK 74137-2745
(918) 558-3088
Mailing address
9220 S TOLEDO CT, TULSA, OK 74137-2744
(918) 558-3088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
04/25/2018
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