Individual
SARA JEAN ENYART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10512 N 110TH EAST AVE, STE 100, OWASSO, OK 74055-6638
(918) 376-8149
(918) 376-8410
Mailing address
10512 N 110TH EAST AVE, STE 100, OWASSO, OK 74055-6638
(918) 376-8410
(918) 376-8839
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1993
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200319280A
—
OK
Enumeration date
01/18/2011
Last updated
06/28/2016
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