Individual
GRETCHEN ALTEVOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S COLLEGE AVE, TULSA, OK 74104-3126
(918) 631-5423
(918) 631-3057
Mailing address
600 S COLLEGE AVE, TULSA, OK 74104-3126
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
379
OK
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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