Individual
DR. HAROLD M GINZBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 S BLISS AVE, DEPT OF PSYCHIATRY, TAHLEQUAH, OK 74464-2512
(504) 858-0066
(504) 613-4913
Mailing address
100 S BLISS AVE, DEPT OF PSYCHIATRY, TAHLEQUAH, OK 74464-2512
(504) 858-0066
(504) 613-4913
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
25865
OK
2084P0800X
Psychiatry Physician
Primary
25865
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99610
—
LA
Enumeration date
12/14/2006
Last updated
11/29/2011
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