Individual
DR. REBECCA ANN RAELSON-SKONICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
(918) 342-6598
Mailing address
2114 E 52ND PL, TULSA, OK 74105-6408
(918) 743-9453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3983
OK
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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