Individual
PAVEL GREG BUZADZHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1265 S UTICA AVE, TULSA, OK 74104-4243
(918) 592-0999
Mailing address
9228 S MINGO RD STE 200, TULSA, OK 74133-5722
(918) 592-0999
(918) 592-1021
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
106598
OK
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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