TINA C SMALL

FORT SILL, OK
NPI1720074255
Former NameTINA C BEATY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: OK  24054)
Enumeration Date2005-09-20
Last Update Date2024-01-03
Business Address
TINA C SMALL MD
4301 WILSON ST
FORT SILL, OK 73503-4472
Phone number: 580-558-8497
Mailing Address
TINA C SMALL MD
4301 WILSON ST
FORT SILL, OK 73503-4472
Phone number: 580-558-8497