# CRYSTEN CHEATWOOD DO, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801380159
- **Authorized official:** CRYSTEN C CHEATWOOD DO (OWNER)
- **Authorized official phone:** (405) 945-4701

## Contact information

- **Practice address:** 3433 NW 56 STREET, SUITE 210B, OKLAHOMA CITY, OK 73112
- **Practice address phone:** (405) 945-4701
- **Practice address fax:** (405) 945-4728
- **Mailing address:** 3433 NW 56TH STREET, SUITE 210B, OKLAHOMA CITY, OK 73112
- **Mailing address phone:** (405) 945-4701
- **Mailing address fax:** (405) 945-4728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | OK | Yes |

## Other

- **Enumeration date:** 06/20/2018
- **Last updated:** 06/20/2018