Individual
DR. HILLARY PANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1245 S UTICA AVE, 2W, TULSA, OK 74104-4214
(918) 574-0350
(918) 574-0359
Mailing address
1245 S UTICA AVE, 2W, TULSA, OK 74104-4214
(918) 574-0350
(918) 574-0359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26532
OK
2084P0800X
Psychiatry Physician
26532
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200517290A
—
OK
Enumeration date
05/29/2008
Last updated
05/04/2015
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