Individual
MICHAEL LORIS EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10507 E 91ST ST STE 450, TULSA, OK 74133-5515
(918) 392-1400
Mailing address
10507 E 91ST ST STE 450, TULSA, OK 74133-5515
(918) 392-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
07/09/2024
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