| Gtoddmed Pllc | |
|
1819 E 19th St Ste 302 Tulsa OK 74104-5414 | |
| (918) 742-0552 | |
| Not Available |
| Full Name | Gtoddmed Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1819 E 19th St Ste 302, Tulsa, Oklahoma |
| Authorized Official Name and Position | Sherita Barrett (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4056006869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gtoddmed Pllc 1819 E 19th St Ste 302 Tulsa OK 74104-5414 Ph: () - | Gtoddmed Pllc 1819 E 19th St Ste 302 Tulsa OK 74104-5414 Ph: (918) 742-0552 |
| NPI Number | 1770294209 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 12/06/2022 |
| Medicare PECOS PAC ID | 0749653368 |
|---|---|
| Medicare Enrollment ID | O20230302000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770294209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robert Arnold Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629122627 PECOS PAC ID: 4587737747 Enrollment ID: I20080721000719 |
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