Dr. Susan C. Willard DO
Family Medicine Physician in Tulsa, OK(View on Map)
Full Name
Dr. Susan Chaiser Willard DO
NPI Number
1033179916
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/24/2006
Specialties
(Taxonomies)Licenses
State
Oklahoma
License Number
2353
Contact
Information
Purpose
Mailing
Location
Address
6532 E 71ST ST STE 150
6532 E 71ST ST STE 150
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74133-2771
74133-2771
Country
US
US
Telephone Number
(918) 740-4630
(918) 740-4630
Identifiers
Identifier
100629700B
Identifier State
OK
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/06/2017