Individual
MRS. ADELAIDE L PRIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4444 S HARVARD AVE, SUITE 300, TULSA, OK 74135-2634
(918) 747-2020
(918) 747-2056
Mailing address
244 S. GATEWAY PLACE, SUITE 401, JENKS, OK 74037
(918) 747-2020
(918) 747-2056
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2472
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176260A
—
OK
01
—
1457746
UNITED HEALTHCARE
OK
01
—
4573409
AETNA
OK
Enumeration date
09/21/2006
Last updated
03/22/2019
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