Organization
ANDREA B DUDLEY OD, INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BERTALOTTO DUDLEY OD (PRESIDENT)
(918) 745-9700
Entity
Organization
Contact information
Practice address
5910 S LEWIS AVE, TULSA, OK 74105-7112
(918) 745-9700
(918) 743-8102
Mailing address
5910 S LEWIS AVE, TULSA, OK 74105-7112
(918) 745-9700
(918) 743-8102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2215
OK
Other
Enumeration date
03/01/2007
Last updated
07/08/2011
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