Provider Demographics
NPI:1215355037
Name:POLITO, ANDREW PAUL (DO)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:PAUL
Last Name:POLITO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5310 E 31ST ST STE 13
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5013
Mailing Address - Country:US
Mailing Address - Phone:918-561-5701
Mailing Address - Fax:918-561-1173
Practice Address - Street 1:802 S JACKSON AVE STE 310
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-9057
Practice Address - Country:US
Practice Address - Phone:918-631-8130
Practice Address - Fax:918-631-8134
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-29
Last Update Date:2024-09-10
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Provider Licenses
StateLicense IDTaxonomies
OK5798207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease