Individual
DR. NICOLE MARIE CASTELLESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1723 E 15TH ST STE 100, TULSA, OK 74104-4608
(918) 939-8339
(918) 872-9091
Mailing address
3336 E. 32ND ST, #106, TULSA, OK 74135
(918) 939-8339
(918) 872-9091
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25592
OK
Other
Enumeration date
01/12/2008
Last updated
04/24/2018
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