Organization
SESTAK RHEUMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L SESTAK MD (MANAGER)
(405) 615-2421
Entity
Organization
Contact information
Practice address
3555 NW 58TH ST STE 804, OKLAHOMA CITY, OK 73112-4703
(405) 548-0430
(405) 463-4408
Mailing address
3555 NW 58TH ST STE 804, OKLAHOMA CITY, OK 73112-4703
(405) 615-2421
(650) 727-5319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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