Individual
DR. JULIE R MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9429 N 50TH ST W, PORTER, OK 74454-2749
(918) 869-7388
Mailing address
9429 N 50TH ST W, PORTER, OK 74454-2749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20769
OK
Other
Enumeration date
06/13/2007
Last updated
03/21/2013
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