Individual
DEMETRICE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(539) 235-7393
Mailing address
6106 E 21ST ST, TULSA, OK 74114-2306
(918) 407-1314
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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