Individual
AMANDA RENE REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 233-9550
Mailing address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 233-9550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5471
OK
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
5471
OK
Other
Enumeration date
07/03/2013
Last updated
05/05/2023
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