Provider Demographics
NPI:1790017283
Name:JULSON, DANYA (DO)
Entity Type:Individual
Prefix:
First Name:DANYA
Middle Name:
Last Name:JULSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2448 E 81ST ST STE 1502
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-4250
Mailing Address - Country:US
Mailing Address - Phone:918-900-2520
Mailing Address - Fax:918-900-2521
Practice Address - Street 1:2448 E 81ST ST STE 1502
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4250
Practice Address - Country:US
Practice Address - Phone:918-900-2520
Practice Address - Fax:918-900-2521
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK5876207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery