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Individual

MITCHELL L. EARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6801 W MEMORIAL RD UNIT E, OKLAHOMA CITY, OK 73142-2103
(405) 491-4090
(405) 491-4091
Mailing address
6801 W MEMORIAL RD UNIT E, OKLAHOMA CITY, OK 73142-2103
(405) 491-4090
(405) 491-4091

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3849
OK
207Q00000X
Family Medicine Physician
39879
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
398796
SC
Enumeration date
06/08/2006
Last updated
04/17/2025
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