Individual
MR. RICHARD DWAIN TUGGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
2417 E 53RD ST, TULSA, OK 74105-6601
(918) 712-8412
(918) 712-8413
Mailing address
2417 E 53RD ST, TULSA, OK 74105-6601
(918) 712-8412
(918) 712-8413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2401
OK
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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