Individual
DR. ALICE E MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 N. LEE, ST. ANTHONY HOSPITAL, OKLAHOMA CITY, OK 73104
(405) 272-6400
(405) 272-6928
Mailing address
PO BOX 57440, OKLAHOMA CITY, OK 73157-7440
(405) 272-6400
(405) 272-6928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11880
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730657693
—
OK
Enumeration date
04/02/2009
Last updated
04/02/2009
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