Individual
THERESA BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 NW 9TH ST STE 325, OKLAHOMA CITY, OK 73102-1035
(405) 272-6877
(405) 272-6878
Mailing address
535 NW 9TH ST STE 325, OKLAHOMA CITY, OK 73102-1035
(405) 272-6877
(405) 272-6878
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
103143
OK
Other
Enumeration date
07/23/2017
Last updated
09/28/2022
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