Anthony Kendall Quartuccio BA

NPI 1720370240 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1720370240
Gender Male
Enumeration Date 05/03/2011
Last Updated 05/03/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
11740 E 21ST ST
TULSA OK, 74129-1820, US
Phone (918) 587-9471
Fax
Business Location
650 S PEORIA AVE
TULSA OK, 74120-4429, US
Phone (918) 587-9741
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mr. Anthony Kendall Quartuccio BA NPI is 1720370240, taxonomy code is 171M00000X Anthony Kendall Quartuccio BA physically located at 11740 E 21st St, Tulsa OK, 74129-1820. NPI Number Anthony Kendall Quartuccio BA has the Individual type.

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1720370240 NPI number is provided on an as is basis without warranty of any kind. 1720370240 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Kendall Quartuccio BA are for informational purposes only.