person
Angus Black, STUDENT
Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma
NPI 1720704208

Angus Black is a Student in an Organized Health Care Education/Training Program based in Tulsa, OK. Angus Black practices in Tulsa, OK and has the professional credentials of STUDENT. The NPI Number for Angus Black is 1720704208 and holds a License No. (Oklahoma).

The current practice location address for Angus Black is 1111 W 17Th St, Tulsa, OK and can be reached out via phone at 773-326-7346.

Location: 1111 W 17Th St, Tulsa, OK, 74104-1402
person
Provider Profile Details
NPI Number
1720704208
Provider Name
Angus Black
Credential
STUDENT
Provider Entity Type
Individual
Gender
Male
Address
1111 W 17Th St, Tulsa, OK, 74104-1402
Phone Number
773-326-7346
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1111 W 17Th St
City
State
Zip
74107-1886
Phone Number
773-326-7346
Fax Number
person
Provider Business Mailing Address Details
Address
1111 W 17Th St
City
State
Zip
74107-1886
Phone Number
773-326-7346
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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