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Individual

DR. NATALIE WAKEFIELD VASSAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9410 S ELWOOD AVE STE 101, JENKS, OK 74037-2366
(918) 401-0772
(918) 612-9972
Mailing address
7714 S INDIAN AVE, TULSA, OK 74132-2841
(918) 645-2018
(918) 612-9972

Taxonomy

Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
26454
OK
2084P0800X
Psychiatry Physician
Primary
26454
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200225570A
OK
Enumeration date
11/20/2008
Last updated
08/19/2023
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