Organization
LINDA J TRUITT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA J TRUITT MD (OWNER/PHYSICIAN)
(405) 943-1114
Entity
Organization
Contact information
Practice address
5622 N PORTLAND AVE, 101, OKLAHOMA CITY, OK 73112-2096
(405) 943-1114
(405) 943-1661
Mailing address
5622 N PORTLAND AVE, 101, OKLAHOMA CITY, OK 73112-2096
(405) 943-1114
(405) 943-1661
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
17676
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113010A
—
OK
Enumeration date
07/22/2013
Last updated
07/22/2013
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