Individual
SANDRA PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU D
Contact information
Practice address
31870 E STATE HIGHWAY 51, COWETA, OK 74429-7900
(918) 279-3461
(918) 279-1087
Mailing address
31870 E STATE HIGHWAY 51, P.O. BOX 900, COWETA, OK 74429-7900
(918) 279-3461
(918) 279-1087
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
118
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008660A
—
OK
Enumeration date
08/23/2005
Last updated
03/27/2014
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