Individual
DR. REBECCA A FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3500 NW 56TH ST, SUITE 100, OKLAHOMA CITY, OK 73112-4529
(405) 951-2855
(405) 951-2858
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 951-2855
(405) 951-2858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21688
OK
207Q00000X
Family Medicine Physician
43765
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39234231
—
CO
Enumeration date
12/19/2005
Last updated
03/16/2015
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