Individual
YEGANEH AZIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1145 S UTICA AVE STE 365, TULSA, OK 74104-4004
(918) 728-3354
Mailing address
1157 E 148TH ST S, GLENPOOL, OK 74033-4407
(918) 852-7056
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5141
OK
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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