Individual
DR. SARAH ELIZABETH AYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 S BRYANT AVE, SUITE 306, EDMOND, OK 73034-6399
(405) 340-8918
(405) 340-0960
Mailing address
105 S BRYANT AVE, SUITE 306, EDMOND, OK 73034-6399
(405) 340-8918
(405) 340-0960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8942
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165040
—
OK
01
—
730780621
FEDERAL TAX ID
OK
Enumeration date
06/06/2006
Last updated
12/03/2009
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