Individual
MARTIANN LEE BOHL-WITCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12455 E 100TH ST N STE 220, OWASSO, OK 74055-4675
(918) 274-5555
Mailing address
12455 E 100TH ST N STE 220, OWASSO, OK 74055-4675
(918) 274-5555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4382
OK
Other
Enumeration date
08/04/2006
Last updated
12/20/2017
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