Individual
RICKY MATHEW CREASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2727 E ADMIRAL PL, TULSA, OK 74110-5436
(918) 262-4550
Mailing address
2727 E ADMIRAL PL, TULSA, OK 74110-5436
(918) 262-4550
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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