Individual
ALLISON J DERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1992
(918) 494-2200
Mailing address
8625 E 78TH PL, TULSA, OK 74133-3718
(316) 554-6190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5159
OK
Other
Enumeration date
08/31/2021
Last updated
03/14/2024
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