| Medstaff Pc | |
|
1109 W Main Pkwy Catoosa OK 74015-2333 | |
| (918) 379-6414 | |
| (918) 379-6414 |
| Full Name | Medstaff Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1109 W Main Pkwy, Catoosa, Oklahoma |
| Authorized Official Name and Position | Tony Young (SECRETARY) |
| Authorized Official Contact | 9187797431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstaff Pc 4500 S 129th East Ave Ste 191 Tulsa OK 74134-5891 Ph: (918) 779-7900 | Medstaff Pc 1109 W Main Pkwy Catoosa OK 74015-2333 Ph: (918) 379-6414 |
| NPI Number | 1912248261 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 03/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912248261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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