Individual
MARY ANN WARNER CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1919 S WHEELING AVE STE 200, TULSA, OK 74104-5631
(918) 403-7089
Mailing address
701 W 101ST PL S APT 721, JENKS, OK 74037-3542
(918) 600-8050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5167
OK
Other
Enumeration date
08/23/2021
Last updated
08/16/2024
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