Individual
ABBEY WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 SW 119TH ST, OKLAHOMA CITY, OK 73170-4930
(405) 353-1460
Mailing address
4821 SW 130TH ST, OKLAHOMA CITY, OK 73173-8913
(405) 353-1460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2013019962
MO
207Q00000X
Family Medicine Physician
Primary
32305
OK
Other
Enumeration date
06/21/2013
Last updated
07/23/2022
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