Individual
DANA JUNE PENTECOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-2200
Mailing address
12220 S DARLINGTON AVE, BIXBY, OK 74008-2736
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6230
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2016
Last updated
08/24/2020
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