Individual
TERA SANTISTEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
400 S. MISSION ST., SAPULPA, OK 74066
(918) 494-2902
(918) 494-2905
Mailing address
701 W. ELGIN ST., BROKEN ARROW, OK 74012
(918) 494-2902
(918) 494-2905
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
368
OK
Other
Enumeration date
10/01/2017
Last updated
07/18/2023
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