Individual
DR. ANNA MAZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5310 E 31ST ST FL LL, TULSA, OK 74135-5018
(918) 236-4000
(918) 236-4001
Mailing address
5310 E 31ST ST FL 13, TULSA, OK 74135-5018
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1279
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200730770A
—
OK
01
—
572454YM2Y
MEDICARE
OK
Enumeration date
11/15/2014
Last updated
03/06/2024
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