Individual
CARLIE M PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
721 W BRITTON RD, OKLAHOMA CITY, OK 73114-2909
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64893
OK
390200000X
Student in an Organized Health Care Education/Training Program
64893
OK
Other
Enumeration date
06/09/2020
Last updated
08/16/2023
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