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Individual

TANYA L. LIVINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1205 HEALTH CENTER PKWY, SUITE 100, YUKON, OK 73099-6396
(405) 717-5400
(405) 717-5467
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 717-5400
(405) 717-5467

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21699
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100108460A
OK
Enumeration date
06/06/2006
Last updated
07/20/2017
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