Individual
REBECCA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
3300 HEALTHPLEX PKWY, NORMAN, OK 73072
(405) 515-6615
(405) 515-3635
Mailing address
3117 TERRACE PARK TRL, NORMAN, OK 73069-7585
(816) 805-1993
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
103674
MO
207V00000X
Obstetrics & Gynecology Physician
528059
KS
207V00000X
Obstetrics & Gynecology Physician
Primary
5743
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100330060D
—
KS
01
—
1245211846
TRICARE
—
01
—
2089570
UNITED HEALTH CARE
—
01
—
29241057
BCBS
—
01
—
5135654
AETNA
—
01
—
9181474
CIGNA
—
Enumeration date
11/10/2005
Last updated
11/09/2018
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