Individual
ALEXANDRA MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3131
Mailing address
320 LIONS HEAD DR, MONUMENT, CO 80132-9459
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
32698218
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2022
Last updated
10/09/2023
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