Age Erase Medical Aesthetics
Age Erase Medical Aesthetics is a Primary Care Clinic/Center in Tulsa, Oklahoma. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
7010 S Utica AveTulsa, OK 74136-3907
Phone: (940) 704-1700
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Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1386505709 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Reesey Russell — Owner · (940) 704-1700 |
| NPI enumerated | November 24, 2025 |
| Last updated in NPPES | March 4, 2026 |
| Certification date | March 4, 2026 |
| Mailing address | 7010 S Utica Ave, Tulsa, OK 74136-3907 |
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