Organization
CALDWELL MEDICAL GROUP OF NORTH TULSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMMIE CALDWELL MD (SOLE MEMBER)
(918) 485-0291
Entity
Organization
Contact information
Practice address
8014 S 101ST EAST AVE, TULSA, OK 74133-4579
(918) 949-9910
Mailing address
8014 S 101ST EAST AVE, TULSA, OK 74133-4579
(918) 949-9910
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
11/05/2015
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