Individual
TAYLOR DIANE SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 406-3420
(918) 280-0310
Mailing address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 712-8800
(918) 712-8802
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200268490A
—
OK
Enumeration date
06/04/2018
Last updated
11/05/2023
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