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Organization

MEDSTAFF PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONY YOUNG (SECRETARY)
(918) 779-7431
Entity
Organization

Contact information

Practice address
1749 N ASPEN AVE, SUITE 1757, BROKEN ARROW, OK 74012
(918) 249-8776
(404) 494-7524
Mailing address
4500 S 129TH EAST AVE STE 191, TULSA, OK 74134-5891
(918) 779-7900
(918) 779-7425

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/12/2013
Last updated
04/12/2013
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