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Individual

SARA E. SUTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4401 MCAULEY BLVD STE 2200, OKLAHOMA CITY, OK 73120
(405) 749-7023
(405) 749-7025
Mailing address
4401 MCAULEY BLVD, SUTE 2200, OKLAHOMA CITY, OK 73120-8339
(405) 749-7023
(705) 749-7025

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21760
OK
2086X0206X
Surgical Oncology Physician
Primary
21760
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200076250A
OK
Enumeration date
03/22/2006
Last updated
08/31/2018
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