Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 3049 | OK |
NPI | 1003814054 |
---|---|
Provider Name | Mrs. Rita Bilski Sanders II |
First Address | Tulsa, OK 74137-2829 |
Second Address | Tulsa, OK 74137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 24/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100018800B | (05) | OK |
F09564 | (02) | OK |