Individual
DR. MICHELLE PHILLIPS HUBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4612 S HARVARD AVE, STE A, TULSA, OK 74135-2908
(918) 747-5565
(918) 747-5568
Mailing address
4612 S HARVARD AVE, STE A, TULSA, OK 74135-2908
(918) 747-5565
(918) 747-5568
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
21330
OK
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
21330
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100026380A
—
OK
Enumeration date
11/21/2006
Last updated
10/28/2008
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