Individual
MARIANNE MISCIAGNA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-7311
(405) 272-2845
Mailing address
PO BOX 1072, NORMAN, OK 73070-1072
(405) 329-4581
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
17830
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023440A
—
OK
05
—
100741070A
—
OK
Enumeration date
07/07/2005
Last updated
01/19/2017
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