Sara Ann Buntin
Adolescent Medicine
12455 E 100th St N Ste 300
Owasso
, Oklahoma 74055-4678
Sara Ann Buntin
Adolescent Medicine
12455 E 100th St N Ste 300
Owasso
, Oklahoma 74055-4678
(918) 274-1395
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Sara Ann Buntin
- 12455 E 100th St N
- Owasso, OK
- Zip : 74055-4674
- Fax : (918) 274-1395
- Phone : (918) 274-9700
Second Address
- Sara Ann Buntin
- 12455 E 100th St N Ste 300
- Owasso, OK
- Zip : 74055-4678
- Fax : (918) 274-1395
- Phone : (918) 274-9700
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FAQs
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Is Sara Ann Buntin a sole practitioner?
Is Sara Ann Buntin accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080A0000X | Adolescent Medicine | 75091 | OK |
| Y | 2080A0000X | Adolescent Medicine | 83204 | OK |
National Provider Identifier
| NPI | 1033460449 |
|---|---|
| Provider Name | Sara Ann Buntin |
| First Address | Owasso, OK 74055-4674 |
| Second Address | Owasso, OK 74055-4678 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2012 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 83204 | STATE LICENSE (01) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.