Individual
JULIE M REDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6151 S YALE AVE, SUITE 305, TULSA, OK 74136-1907
(918) 494-9494
(918) 494-9459
Mailing address
6151 S YALE AVE, SUITE 305, TULSA, OK 74136-1907
(918) 494-9494
(918) 494-9459
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1399
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200052240A
—
OK
Enumeration date
05/16/2006
Last updated
07/08/2007
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