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NPI Code Detail

MEDICARE: JOHN THOMAS HIETT

MEDICARE: JOHN THOMAS HIETT
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
1207P00000XEmergency Medicine Physician36125OK

General Provider Information

NPI Number : 1962022749
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN THOMAS HIETT
Provider Business Mailing Address
First Line : 4502 E 41ST ST
Second Line :
City : TULSA
State : OK
Zip : 74135-2536
Country : US
Telephone Number : 918-579-2367
Fax Number :
Provider Business Practice Location Address
First Line : 4502 E 41ST ST
Second Line :
City : TULSA
State : OK
Zip : 74135-2536
Country : US
Telephone Number : 918-579-2367
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2020
Last Update Date : 02/03/2026

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Directions to “ JOHN THOMAS HIETT ” Practice Location

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