Healthcare Provider Details

I. General information

NPI: 1003754870
Provider Name (Legal Business Name): ISABELLA MARIE CONTOLINI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 E 19TH ST STE 703
TULSA OK
74104-5440
US

IV. Provider business mailing address

14073 W AMHERST CT
LAKEWOOD CO
80228-5306
US

V. Phone/Fax

Practice location:
  • Phone: 918-382-4600
  • Fax:
Mailing address:
  • Phone: 720-725-2228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberUNKNOWN
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: