Individual
DAVID ANTHONY WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 894-8805
Mailing address
2912 S BOSTON CT, TULSA, OK 74114-5215
(918) 894-8805
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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