Alec Dalton-shea Puckett is a student in an organized health care education training program in Tulsa, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Alec Dalton-shea Puckett NPI is 1538836739. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1215 S BOULDER AVE
TULSA, OK
ZIP 74119-842
Phone: (918) 631-2619
The enumeration date for this NPI number is 8/25/2021 and was last updated on 8/25/2021.