Provider Demographics
NPI:1275065351
Name:CURTIS, CYNTHIA LOUISE (CSFA)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LOUISE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1501 N FLORENCE AVE
Mailing Address - Street 2:SUITE # 350
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-3179
Mailing Address - Country:US
Mailing Address - Phone:918-343-8574
Mailing Address - Fax:918-343-8575
Practice Address - Street 1:1501 N FLORENCE AVE
Practice Address - Street 2:SUITE #350
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3179
Practice Address - Country:US
Practice Address - Phone:918-343-8574
Practice Address - Fax:918-343-8575
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK168569246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist