Individual
SARAH SOUVANNACHAK BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
6126 E 61ST ST, TULSA, OK 74136
(918) 281-2575
Mailing address
717 S HOUSTON AVE STE 200, TULSA, OK 74127-9005
(918) 586-4500
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
6369
OK
Other
Enumeration date
03/09/2017
Last updated
02/14/2023
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