Susan C. Willard, Do, Pllc

NPI #1013421023 in Tulsa, Oklahoma

Provider Information

NPI Number: 1013421023
Entity Type: Organization
Organization Name: Susan C. Willard, Do, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Nov 29, 2017
Last Updated: Nov 29, 2017

Practice Location

Address: 6532 E. 71ST STREET
Address 2: SUITE 150
City: Tulsa
State: Oklahoma
ZIP Code: 74133
Phone: (918) 740-4630

Authorized Official

Name: DR. SUSAN C. WILLARD, D.O.
Title: CEO
Phone: (918) 740-4630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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