Individual
DONA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9716 RIVERSIDE PKWY, TULSA, OK 74137-7447
(918) 528-6156
Mailing address
9716 RIVERSIDE PKWY, TULSA, OK 74137-7447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2369
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2369
OK MEDICAL BOARD
OK
Enumeration date
02/19/2014
Last updated
06/13/2025
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