Individual
MICHAEL GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
130147
OK
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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