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Individual

DR. CHARLES ERWIN WOMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11101 HEFNER POINTE DR STE 105, OKLAHOMA CITY, OK 73120-5054
(405) 751-5555
(405) 751-0726
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 751-5555
(405) 751-0726

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10243
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100122830A
OK
Enumeration date
11/30/2005
Last updated
09/14/2018
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