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NPI Code Detail

MEDICARE: MINTA Z. TAUER D.O.

MEDICARE: MINTA Z. TAUER D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician2482OK

General Provider Information

NPI Number : 1437139862
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINTA Z. TAUER D.O.
Provider Business Mailing Address
First Line : 10121 S 86TH EAST PL
Second Line :
City : TULSA
State : OK
Zip : 74133-6971
Country : US
Telephone Number : 918-369-0451
Fax Number :
Provider Business Practice Location Address
First Line : 8801 S 101ST EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74133-5716
Country : US
Telephone Number : 918-294-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 07/08/2007

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Directions to “ MINTA Z. TAUER D.O.” Practice Location

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