Individual
CHRISTOPHER WIDMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5012
(918) 587-9471
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5012
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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