Individual
AMY NICHOLE INGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1992
(918) 494-2200
Mailing address
2256 E 8TH ST, TULSA, OK 74104-3238
(918) 902-3653
(918) 956-1045
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
186642
OK
Other
Enumeration date
03/02/2019
Last updated
01/09/2021
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