Ctca Physicans Group of Oklahoma, INC

NPI #1053309591 in Tulsa, Oklahoma

Provider Information

NPI Number: 1053309591
Entity Type: Organization
Organization Name: Ctca Physicans Group of Oklahoma, INC
Primary Specialty: Specialist
Enumeration Date: Oct 10, 2005
Last Updated: Jul 29, 2021

Practice Location

Address: 10109 E 79TH ST
City: Tulsa
State: Oklahoma
ZIP Code: 74133-4564
Phone: (847) 746-4358

Authorized Official

Name: NEETU MASUTA
Title: CHIEF ACCOUNTING OFFICER
Phone: (847) 342-6978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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