Individual
MARISSA TAYLOR BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4514
OK
Other
Enumeration date
03/11/2021
Last updated
04/05/2023
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