Individual
MRS. DIAMOND MARIE GLEGHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 748-1300
Mailing address
9323 S DARLINGTON AVE, TULSA, OK 74137-4402
(918) 814-8326
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
05/06/2022
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