Individual
DR. TAMARA KEISHA WOLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4600
Mailing address
1835 E 16TH PL, TULSA, OK 74104-4923
(973) 330-7832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30410
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
10/15/2014
Last updated
04/03/2017
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