AMANDA HANNAH THORSON

TULSA, OK
NPI1366904575
Former NameAMANDA HANNAH POPISH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: CA  21016)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-05
Last Update Date2023-06-06
Business Address
AMANDA HANNAH THORSON DO
717 S HOUSTON AVE STE 200
TULSA, OK 74127-9005
Phone number: 918-586-4500
Mailing Address
AMANDA HANNAH THORSON DO
2628 E 19TH ST
TULSA, OK 74104-5808
Phone number: 818-307-1409