Donna Carole Puckett MD

NPI 1053310375 - Pediatrics - 208000000X

NPI Details
NPI 1053310375
Gender Female
Enumeration Date 07/19/2005
Last Updated 02/29/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
6160 S YALE AVE
TULSA OK, 74136-1930, US
Phone (918) 497-3004
Fax (918) 497-3247
Business Location
6600 S YALE AVE
STE 1400
TULSA OK, 74136-3310, US
Phone (918) 488-6001
Fax
Toxanomy
Taxonomy Code 208000000X
License State Oklahoma
License Number 21764
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According to our database, Donna Carole Puckett MD NPI is 1053310375, taxonomy code is 208000000X and license number is 21764, license state is located at Oklahoma. Donna Carole Puckett MD physically located at 6160 S Yale Ave, Tulsa OK, 74136-1930. NPI Number Donna Carole Puckett MD has the Individual type.

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1053310375 NPI number is provided on an as is basis without warranty of any kind. 1053310375 is maintained by the National Plan & Provider Enumeration System. The contents of Donna Carole Puckett MD are for informational purposes only.