Organization · Type 2 NPI

Caldwell Medical Group of North Tulsa LLC

Medical Physician Assistant · Tulsa, OK

NPI number 1790155562 Active

Practice location

8014 S 101st East Ave
Tulsa, OK 74133-4579

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1790155562

Caldwell Medical Group of North Tulsa LLC's National Provider Identifier is 1790155562, issued on Oct 5, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tulsa, OK. The record was last updated on Nov 5, 2015.