Individual
MRS. ELIZABETH GRACE SEVERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10506 S MEMORIAL DR, TULSA, OK 74133-6914
(918) 369-3200
(918) 369-3209
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6653
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6757
OK
Other
Enumeration date
03/01/2018
Last updated
07/30/2021
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