person
Debra Sue Odom, PA
Medical Physician Assistant in Tulsa, Oklahoma
NPI 1316905110

Debra Sue Odom is a Medical Physician Assistant based in Tulsa, OK and is specialized in Medical. Debra Sue Odom practices in Tulsa, OK and has the professional credentials of PA. The NPI Number for Debra Sue Odom is 1316905110 and holds a License No. 1340 (Oklahoma).

The current practice location address for Debra Sue Odom is 1717A S Utica Ave, Tulsa, OK and can be reached out via phone at 918-748-1300 and via fax at 918-748-1303.

Location: 1717A S Utica Ave, Tulsa, OK, 74104
person
Provider Profile Details
NPI Number
1316905110
Provider Name
Debra Sue Odom
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1717A S Utica Ave, Tulsa, OK, 74104
Phone Number
918-748-1300
Fax Number
918-748-1303
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200023180A 05 OK
institution
Provider Business Practice Location Address Details
Address
1717A S Utica Ave
City
State
Zip
74104
Phone Number
918-748-1300
Fax Number
918-748-1303
person
Provider Business Mailing Address Details
Address
1717A S Utica Ave
City
State
Zip
74104
Phone Number
918-748-1300
Fax Number
918-748-1303
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1340 (Oklahoma)
Definition
Definition to come...
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