Individual
LAURA BILBRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 W BOISE CIR, SUITE 160, BROKEN ARROW, OK 74012-4906
(918) 994-9160
(918) 293-3169
Mailing address
1515 N HARVARD AVE, SUITE E, TULSA, OK 74115-4957
(918) 832-6049
(918) 832-6055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20265
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229790A
—
OK
Enumeration date
03/14/2006
Last updated
09/28/2011
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