Individual
AMANDA SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7477 E 46TH PL, TULSA, OK 74145-6305
(918) 384-0002
(918) 384-0004
Mailing address
7477 E 46TH PL, TULSA, OK 74145-6305
(918) 384-0002
(918) 384-0004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4541
OK
Other
Enumeration date
10/07/2019
Last updated
06/20/2024
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