Healthcare Provider Details

I. General information

NPI: 1134199870
Provider Name (Legal Business Name): JULIA A SHIRK AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA A DUNCAN M.S.

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 S UTICA AVE SUITE 302
TULSA OK
74104-4000
US

IV. Provider business mailing address

1145 S UTICA AVE SUITE 302
TULSA OK
74104-4000
US

V. Phone/Fax

Practice location:
  • Phone: 918-592-3737
  • Fax: 918-592-3337
Mailing address:
  • Phone: 918-592-3737
  • Fax: 918-592-3337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number70
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: