Individual
MR. DUSTIN DEAN SILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6301 E 41ST ST, TULSA, OK 74135-6103
(918) 289-0550
(918) 289-0551
Mailing address
6301 E 41ST ST, TULSA, OK 74135-6103
(918) 289-0550
(918) 289-0551
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
172V00000X
Community Health Worker
—
OK
Other
Enumeration date
09/10/2012
Last updated
08/24/2015
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