Individual
DR. AVERY WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP3150, OKLAHOMA CITY, OK 73104-5036
(405) 271-6900
Mailing address
920 STANTON L YOUNG BLVD # WP3150, OKLAHOMA CITY, OK 73104-5036
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
39582
OK
208800000X
Urology Physician
Primary
39582
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39582
UROLOGY
OK
Enumeration date
05/24/2022
Last updated
02/17/2023
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