Individual
MRS. HALEY ANN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 S UTICA AVE STE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-2981
(918) 579-1262
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4944
OK
Other
Enumeration date
08/24/2021
Last updated
07/06/2023
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