Individual
ASHLEY NICOLE MUCKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 24TH AVE NW, NORMAN, OK 73069-6232
(405) 364-0555
(405) 573-5464
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 364-0555
(405) 573-5464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5004
OK
Other
Enumeration date
08/28/2007
Last updated
03/15/2018
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