Individual
ALYSSA PENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 NW 9TH ST STE 1100, OKLAHOMA CITY, OK 73102-1015
(405) 231-3000
Mailing address
608 NW 9TH ST STE 1100, OKLAHOMA CITY, OK 73102-1015
(405) 231-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6471
OK
Other
Enumeration date
03/22/2017
Last updated
01/10/2019
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