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Hunter Park
NPI 1750160149 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1111 W 17th St
Tulsa, OK 74107 - Phone
- (918) 582-1972
- Organisation at this address
- State Of Oklahoma
Premier Labs, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,029
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma