Justin Puthoff, MD in Tulsa, OK - Student in an Organized Health Care Education/Training Program

Justin Puthoff, MD is a Student In An Organized Health Care Education/training Program physician based in Tulsa, Oklahoma. Justin Puthoff is licensed to practice in Oklahoma (license number 33927) and his current practice location is 1802 E 19th St, Tulsa, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (918) 634-7539.

NPI number for Justin Puthoff is 1184111015 and his current mailing address is 1802 E 19th St, Tulsa, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184111015.

Contact Information

	Justin Puthoff, MD
	1802 E 19th St, Tulsa, OK 74104-5403
	(918) 634-7539
	Not Available

Physician's Profile

Full Name	Justin Puthoff
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	1802 E 19th St, Tulsa, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1184111015
Provider Enumeration Date: 04/17/2018
Last Update Date: 08/12/2021

Medical Identifiers

Medical identifiers for Justin Puthoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184111015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	33927 (Oklahoma)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	33927 (Oklahoma)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Puthoff is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Justin Puthoff, MD 1802 E 19th St, Tulsa, OK 74104-5403 Ph: () -	Justin Puthoff, MD 1802 E 19th St, Tulsa, OK 74104-5403 Ph: (918) 634-7539

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Justin Puthoff, MD - Student in an Organized Health Care Education/Training Program in Tulsa, OK