Individual
BETHANY SUTTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 582-1972
Mailing address
1417 W 78TH ST APT 1211, TULSA, OK 74132-4632
(479) 806-0047
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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