Individual
GEORGE B CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3528
(918) 744-3529
Mailing address
1515 N HARVARD AVE, STE E, TULSA, OK 74115-4957
(918) 832-6049
(918) 832-6055
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
13635
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100076250B
—
OK
Enumeration date
10/24/2005
Last updated
04/14/2010
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