Individual
SARA ARIANA RAFAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1705 E 19TH ST STE 302, TULSA, OK 74104
(918) 748-7585
(918) 748-7539
Mailing address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5033
OK
Other
Enumeration date
06/21/2010
Last updated
05/22/2018
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