Individual
EVAN GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(580) 579-0292
Mailing address
1551 W 78TH ST # 1008, TULSA, OK 74132-3040
(580) 579-0292
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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