Individual
MR. SPENCER ELIJAH WOPART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
9322 E 41ST ST, TULSA, OK 74145-3721
(539) 215-5609
(539) 233-2480
Mailing address
1701 RENAISSANCE BLVD, EDMOND, OK 73013-3086
(405) 844-4978
(405) 844-4978
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
121897
OK
Other
Enumeration date
10/06/2020
Last updated
05/12/2025
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