Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 31457 | OK |
NPI | 1013304849 |
---|---|
Provider Name | Dr. Julie Christa Dodson |
First Address | Tulsa, OK 74104-6520 |
Second Address | Tulsa, OK 74104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2015 |
Last Update Date | 09/07/2018 |