Individual
CHRISTINE BUZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8608 S MARION AVE, TULSA, OK 74137-2661
(918) 492-6411
Mailing address
8608 S MARION AVE, TULSA, OK 74137-2661
(918) 492-6411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
933
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
933
STATE LICENSE NUMBER
OK
Enumeration date
05/22/2007
Last updated
07/09/2007
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