Individual
AMANDA J NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7501 RIVERSIDE PKWY, TULSA, OK 74136-5056
(918) 710-4200
Mailing address
7501 RIVERSIDE PKWY, TULSA, OK 74136-5056
(918) 710-4200
(918) 403-6352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6095
OK
Other
Enumeration date
04/28/2015
Last updated
01/23/2025
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