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Del Sullivan Perkins IV
Student in an Organized Health Care Education/Training Program in Tahlequah, Oklahoma
NPI 1710769492

Del Sullivan Perkins IV is a Student in an Organized Health Care Education/Training Program based in Fort Gibson, OK. Del Sullivan Perkins IV practices in Tahlequah, OK. The NPI Number for Del Sullivan Perkins IV is 1710769492 and holds a License No. (Oklahoma).

The current practice location address for Del Sullivan Perkins IV is 19500 E Ross St, Tahlequah, OK and can be reached out via phone at 918-525-6191. You can also correspond with Del Sullivan Perkins IV through the mailing address at 1214 E WALNUT ST, FORT GIBSON, OK - 74434-8355 (mailing address contact number: 405-312-4226).

Location: 19500 E Ross St, Tahlequah, OK, 74434-8355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710769492
Provider Name
Del Sullivan Perkins IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
19500 E Ross St, Tahlequah, OK, 74434-8355
Phone Number
918-525-6191
Fax Number
Provider Enumeration Date
10/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19500 E Ross St
City
Tahlequah
State
Oklahoma
Zip
74464-0515
Phone Number
918-525-6191
Fax Number
person
Provider Business Mailing Address Details
Address
19500 E Ross St
City
Tahlequah
State
Oklahoma
Zip
74464-0515
Phone Number
918-525-6191
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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