Individual
WYATT-DEAN AVERY PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1223 S LAWTON AVE, TULSA, OK 74127-9173
(918) 510-4534
Mailing address
1223 S LAWTON AVE, TULSA, OK 74127-9173
(918) 510-4534
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4799
OK
Other
Enumeration date
08/01/2009
Last updated
08/01/2009
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