Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 5101017367 | MI |
N | 111NI0900X | Internist | 5101017367 | MI |
Y | 207RC0000X | Internist - Cardiovascular Disease | 6111 | OK |
N | 207RC0000X | Internist - Cardiovascular Disease | OS016441 | PA |
NPI | 1003012840 |
---|---|
Provider Name | Sarah Anne Shaw-Dressler |
First Address | Tulsa, OK 74136-3333 |
Second Address | Tulsa, OK 74136-1929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 27/09/2018 |