Individual
DR. JACQUELYN DESIREE MACINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3441 24TH AVE NW STE 105, NORMAN, OK 73069-6716
(405) 321-2929
(405) 366-8701
Mailing address
3441 24TH AVE NW STE 105, NORMAN, OK 73069-6716
(405) 321-2929
(405) 366-8701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6144
OK
Other
Enumeration date
05/06/2016
Last updated
08/27/2020
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