Individual
JOANN D HABERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6307 WATERFORD BLVD, SUITE 100, OKLAHOMA CITY, OK 73118-1117
(405) 607-6359
(405) 607-8256
Mailing address
6307 WATERFORD BLVD, SUITE 100, OKLAHOMA CITY, OK 73118-1117
(405) 607-6359
(405) 607-8256
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9202
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043467723
CORP NPI
OK
Enumeration date
01/04/2007
Last updated
05/29/2014
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