Individual
MRS. TAMARA ANASTASIA POTEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 NE 10TH ST, SUITE 3300, OKLAHOMA CITY, OK 73104-5417
(405) 271-9493
Mailing address
825 NE 10TH ST, SUITE 3300, OKLAHOMA CITY, OK 73104-5417
(405) 271-9493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1819
OK
Other
Enumeration date
05/18/2009
Last updated
10/03/2011
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