Individual
SAMUEL TYRONE WOODFORK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FPRSS
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 360-5100
Mailing address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 360-5100
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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