Individual
PETER SEMRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3330 N MINGO RD, TULSA, OK 74116-1211
(414) 881-0090
Mailing address
1800 W ALBANY ST, APT 935, BROKEN ARROW, OK 74012-1486
(414) 881-0090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2016
Last updated
11/09/2016
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