Individual
BETH HITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
105 WALL ST, POTEAU, OK 74953-4433
(918) 635-3591
Mailing address
503 WINCREST CIR, POTEAU, OK 74953-5491
(405) 615-2070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5229
OK
207V00000X
Obstetrics & Gynecology Physician
5229
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200450490A
—
OK
Enumeration date
02/27/2011
Last updated
05/01/2018
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