Nick Carroll, DO Valid NPI
Individual provider · Family Medicine Physician · Tulsa, OK
- NPI
- 1104055730
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 4745 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-07-02
- Last updated
- 2024-09-12
Practice location
2448 E 81st St Ste 400
Tulsa, OK 74137-4294
(918) 710-4222