Provider Demographics
NPI:1811612195
Name:RATCLIFF, TONYA DAWN (MED)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:DAWN
Last Name:RATCLIFF
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15300 TURKEY XING
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-8156
Mailing Address - Country:US
Mailing Address - Phone:405-919-9888
Mailing Address - Fax:
Practice Address - Street 1:15300 TURKEY XING
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-8156
Practice Address - Country:US
Practice Address - Phone:405-919-9888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator