Individual
AUTUM MICHOLE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. - C
Contact information
Practice address
6565 S YALE AVE, SUITE 503, TULSA, OK 74136-8327
(918) 494-8333
(918) 494-8334
Mailing address
6565 S YALE AVE, SUITE 503, TULSA, OK 74136-8327
(918) 494-8333
(918) 494-8334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2114
OK
Other
Enumeration date
08/16/2012
Last updated
11/12/2012
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