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Individual

DR. BOBBY RAY ABERNATHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 599-1000
Mailing address
2744 W 66TH ST, TULSA, OK 74132-1399
(405) 639-0053

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5342
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/11/2012
Last updated
09/13/2018
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