Individual
DR. TRACI LYNNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6802 S OLYMPIA AVE, SUITE 100, TULSA, OK 74132-1823
(918) 447-9300
Mailing address
6802 S OLYMPIA AVE, SUITE 100, TULSA, OK 74132-1823
(918) 447-9300
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
26991
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200250700A
—
OK
Enumeration date
05/08/2007
Last updated
08/27/2009
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