Organization
SUSAN S. STAUDT, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN S STAUDT DO (PHYSICIAN)
(918) 496-4142
Entity
Organization
Contact information
Practice address
3233 E 31ST STREET, SUITE 101, TULSA, OK 74105
(918) 496-4142
(918) 496-0344
Mailing address
3233 E 31ST STREET, SUITE 101, TULSA, OK 74105
(918) 496-4142
(918) 496-0344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2398
OK
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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