Aric Scott Airitam
Student in an Organized Health Care Education/Training Program in Tulsa, OK. Individual provider (NPI-1).
NPI number1043987126
StatusActive
Last updated in NPPESAug 26, 2021
Details
- NPI
- 1043987126
- Entity type
- Individual (NPI-1)
- Name
- Aric Scott Airitam
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2021
- Certification date
- Aug 26, 2021
- Last updated
- Aug 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
1215 S Boulder AveTulsa, OK 74119-2842
Phone 918-631-2619
Mailing address
327 S Delaware Ave Apt 617Tulsa, OK 74104-2446
Phone 214-226-0209
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