Individual
RAYMOND EDO OUTWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 728-3133
Mailing address
9269 RIVERSIDE PKWY APT Q, TULSA, OK 74137-7330
(918) 282-4367
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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