Individual
JOSEPH CALEB MITRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 HEALTH CENTER PKWY STE 240, YUKON, OK 73099-6396
(405) 717-5496
(405) 717-5499
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 717-5496
(405) 717-5499
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22660
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034740A
—
OK
Enumeration date
05/04/2006
Last updated
03/01/2018
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