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NPI Code Detail

MEDICARE: DONNASONS LLC

MEDICARE: DONNASONS LLC
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
12081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number : 1417767773
Entity Type Code : Organization
Provider Name (Legal Business Name) : DONNASONS LLC
Provider Business Mailing Address
First Line : 6010 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74135-7412
Country : US
Telephone Number : 918-584-8781
Fax Number :
Provider Business Practice Location Address
First Line : 6010 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74135-7412
Country : US
Telephone Number : 918-584-8781
Fax Number :
Authorized Official
Title or Position : GENERAL MANAGER
Name : JAKE HOROWITZ
Credential :
Telephone Number : 203-231-2129
Provider Enumeration Date : 01/09/2025
Last Update Date : 01/13/2025

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Directions to “DONNASONS LLC ” Practice Location

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