Individual
CHRISTY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8803 S 101ST EAST AVE, SUITE 370, TULSA, OK 74133-5726
(918) 492-6333
Mailing address
6966 S UTICA AVE, 225, TULSA, OK 74136-3903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3556
OK
Other
Enumeration date
07/29/2005
Last updated
07/08/2007
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