Individual
SARA ELIZABETH EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 CEDAR LAKE BLVD, OKLAHOMA CITY, OK 73114-7814
(405) 445-1210
Mailing address
211 S GREENWOOD AVE APT 324, TULSA, OK 74120-1460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5168
OK
Other
Enumeration date
08/16/2021
Last updated
01/02/2024
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