Organization
TEAM CLINICS AH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR ALLEN NUTT (CEO)
(405) 546-4130
Entity
Organization
Contact information
Practice address
10 S 6TH ST, STILWELL, OK 74960-2808
(405) 546-4130
Mailing address
3112 COOKE WAY STE B, OKLAHOMA CITY, OK 73179-2401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
08/18/2023
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