Provider Demographics
NPI:1811239569
Name:MCDONALD, SARA (DO)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:TOOFAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1919 S WHEELING AVE
Mailing Address - Street 2:STE 304
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5632
Mailing Address - Country:US
Mailing Address - Phone:918-794-7337
Mailing Address - Fax:
Practice Address - Street 1:1919 S WHEELING AVE STE 304
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5632
Practice Address - Country:US
Practice Address - Phone:918-794-7337
Practice Address - Fax:918-794-7338
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5598208000000X, 2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics