Individual
DENISE M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 E 71ST ST STE C, TULSA, OK 74136-5572
(918) 794-8570
(918) 340-5189
Mailing address
PO BOX 481062, TULSA, OK 74148-1062
(918) 982-3254
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
9999999
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
OK
Enumeration date
10/25/2022
Last updated
10/25/2022
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