Individual
DR. BETSY ANN ITTICKATHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1700 RENAISSANCE BLVD, EDMOND, OK 73013-3022
(405) 844-4300
(405) 844-4333
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(405) 844-4300
(405) 844-4333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6632
OK
Other
Enumeration date
06/06/2018
Last updated
10/24/2024
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