Individual
BUCKY RODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6009 S 74TH EAST AVE, TULSA, OK 74145-9331
(918) 828-3438
Mailing address
6009 S 74TH EAST AVE, TULSA, OK 74145-9331
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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