Individual
MISTI ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6120 S MADISON PL APT B, TULSA, OK 74136-1375
(918) 955-3191
Mailing address
6120 S MADISON PL APT B, TULSA, OK 74136-1375
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/25/2020
Last updated
11/27/2023
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