| Antidote Medical Partners Llc | |
|
9220 S Toledo Ct Ste B Tulsa OK 74137-2745 | |
| (918) 558-3088 | |
| Not Available |
| Full Name | Antidote Medical Partners Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9220 S Toledo Ct Ste B, Tulsa, Oklahoma |
| Authorized Official Name and Position | Natasha Marie Kauffman (OFFICE ASSISTANT) |
| Authorized Official Contact | 5394448082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antidote Medical Partners Llc 9220 S Toledo Ct Tulsa OK 74137-2744 Ph: (918) 558-3088 | Antidote Medical Partners Llc 9220 S Toledo Ct Ste B Tulsa OK 74137-2745 Ph: (918) 558-3088 |
| NPI Number | 1760970875 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760970875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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