Individual
DR. JAMES LAWRENCE NETREBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3814
(512) 597-2713
Mailing address
PO BOX 21157, OKLAHOMA CITY, OK 73156-1157
(405) 752-3828
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A107559
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A107559
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD34052
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
P2744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004194
—
TX
01
—
TXB154038
MEDICARE
TX
Enumeration date
05/28/2009
Last updated
05/09/2019
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