Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 5390 | OK |
NPI | 1346509643 |
---|---|
Provider Name | Mrs. Erica Laine Hill |
First Address | Tulsa, OK 74136-3361 |
Second Address | Tulsa, OK 74136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2012 |
Last Update Date | 23/08/2018 |