Individual
SARA JEAN SUSTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 STANTON L YOUNG BLVD # 3422, OKLAHOMA CITY, OK 73104-5018
(405) 271-4426
Mailing address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
41669
OK
Other
Enumeration date
03/13/2022
Last updated
06/07/2023
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