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Individual

DR. DONNA SERES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11200 N PORTLAND AVE, 2ND FL, OKLAHOMA CITY, OK 73120-5045
(405) 936-1000
(405) 936-1001
Mailing address
11200 N PORTLAND AVE, 2ND FL, OKLAHOMA CITY, OK 73120-5045
(405) 936-1000
(405) 936-1001

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22351
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100136950A
OK
01
5618426
FIRST HEALTH
OK
01
7697670
AETNA
OK
Enumeration date
06/10/2006
Last updated
07/14/2011
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