NPI 1053371021

Tracey Way Childers, DO

Practitioner Otolaryngology/Facial Plastic Surgery Physician Tahlequah, OK

Practice location

Address: 1203 E Ross Byp Suite a, Tahlequah, OK 74464-4188
Phone: (918) 453-1234
Fax: (918) 453-9107

Registered specialties

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 3296 (OK)

Other Otolaryngology providers in Oklahoma →

Registry record

NPI: 1053371021
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2006
Record last updated: 28 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.