Organization
SUSAN C. WILLARD, DO, PLLC
Active
Other names
Family Health and Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN C. WILLARD D.O. (CEO)
(918) 740-4630
Entity
Organization
Contact information
Practice address
6532 E. 71ST STREET, SUITE 150, TULSA, OK 74133
(918) 740-4630
(918) 289-0091
Mailing address
6532 E. 71ST STREET, SUITE 150, TULSA, OK 74133
(918) 740-4630
(918) 289-0091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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