Individual
JULIA MARGARET KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
(918) 748-7585
(918) 748-7539
Mailing address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
(918) 748-7585
(918) 748-7539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4783
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200292190A
—
OK
Enumeration date
04/26/2010
Last updated
02/10/2012
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