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Individual

MICAH RELIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
6465 S YALE AVE STE 615, TULSA, OK 74136
(918) 502-4600
(918) 502-4254
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6045
(918) 488-6098

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5902
OK

Other

Enumeration date
04/23/2014
Last updated
01/17/2019
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