Individual
SUZANNE TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20826 MAIN ST, HARRAH, OK 73045-9756
(405) 454-2404
Mailing address
20826 MAIN ST, PO BOX 900, HARRAH, OK 73045-9756
(405) 454-2404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1971
OK
Other
Enumeration date
01/13/2011
Last updated
01/22/2011
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