Individual
CASSONDRA MICHELLE RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MS
Contact information
Practice address
102 S MAIN ST, SAND SPRINGS, OK 74063-6509
(918) 245-2286
(918) 241-4366
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7653
OK
Other
Enumeration date
04/06/2021
Last updated
07/03/2024
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