Individual
DR. CASEY RAY LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1000
Mailing address
3121 CHAUCER DR, OKLAHOMA CITY, OK 73120-2206
(405) 802-9683
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0147R
OK
207P00000X
Emergency Medicine Physician
Primary
6208
OK
Other
Enumeration date
07/26/2016
Last updated
10/18/2017
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