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NPI Code Detail

MEDICARE: TONYA K DOCHSTADER

MEDICARE: TONYA K DOCHSTADER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1427370998
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA K DOCHSTADER
Provider Business Mailing Address
First Line : 19140 E 7TH ST
Second Line :
City : TULSA
State : OK
Zip : 74108-3502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7010 S YALE AVE
Second Line : SUITE 215
City : TULSA
State : OK
Zip : 74136-5713
Country : US
Telephone Number : 918-492-2554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2010
Last Update Date : 02/24/2010

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Directions to “ TONYA K DOCHSTADER ” Practice Location

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