Individual
MR. DUSTAN ROBERT EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3308 W 61ST ST, TULSA, OK 74132-1223
(918) 269-8742
(918) 445-7711
Mailing address
3308 W 61ST ST, TULSA, OK 74132-1223
(918) 269-8742
(918) 445-7711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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