Individual
BARON WAYNE BUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 268-7365
Mailing address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 268-7365
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
07/01/2025
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