Individual
AMANDA SUE SIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7858 S OLYMPIA AVE, TULSA, OK 74132
(918) 986-9250
(918) 986-9205
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6045
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2744
OK
Other
Enumeration date
02/22/2017
Last updated
01/17/2019
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