Individual
SUMMER ANNE FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11911 S MEMORIAL DR, BIXBY, OK 74008-2030
(918) 369-3200
(918) 369-3205
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8650
TX
Other
Enumeration date
04/30/2008
Last updated
09/16/2015
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