Individual
MICHAEL SUNDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-9495
Mailing address
7512 S 92ND EAST AVE, TULSA, OK 74133-5262
(918) 346-9722
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
OK
Enumeration date
08/30/2017
Last updated
08/30/2017
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