Individual
ASHLEY ANN REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1245 S UTICA AVE FL 2, TULSA, OK 74104
(918) 579-2300
(918) 579-2309
Mailing address
1809 E 13TH ST STE 402, TULSA, OK 74104-4431
(918) 579-2300
(918) 579-2309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2002
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200327040A
—
OK
Enumeration date
03/23/2011
Last updated
05/02/2022
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