Individual
BRIDGETTE MARIE STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST STE 900, TULSA, OK 74135-5018
(918) 695-0669
Mailing address
5310 E 31ST ST STE 900, TULSA, OK 74135-5018
(918) 695-0669
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
07/26/2022
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