Individual
MRS. SARA RENEE' HATTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6475 S YALE AVE STE 401, TULSA, OK 74136-7818
(918) 502-9555
(918) 502-9559
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2105
OK
Other
Enumeration date
01/14/2012
Last updated
09/20/2023
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