Individual
MRS. DONITA ELIZABETH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 S LEWIS AVE STE J, TULSA, OK 74136-1064
(918) 584-4549
(918) 560-1399
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
F081173756
OK
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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