Individual
TIRSIT ADANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14103 FAIRHILL AVENUE, EDMOND, OK 73013-1936
(405) 627-0471
Mailing address
14103 FAIRHILL AVE, EDMOND, OK 73013-1936
(405) 627-0471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD043148
DC
Other
Enumeration date
05/02/2012
Last updated
09/11/2015
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