Individual
MR. MICHAEL DEE GOTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNS, ARNP
Contact information
Practice address
8325 NW EXPRESSWAY, OKLAHOMA CITY, OK 73162-6006
(405) 749-7099
(405) 773-9418
Mailing address
8325 NW EXPRESSWAY, OKLAHOMA CITY, OK 73162-6006
(405) 749-7099
(405) 773-9418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79164
OK
364SE0003X
Emergency Clinical Nurse Specialist
73164
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79164
STATE LICENSE
OK
Enumeration date
01/07/2008
Last updated
07/08/2014
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