Individual
TAYLOR R COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 2ND AVE SW, MIAMI, OK 74354-6743
(918) 542-6611
(918) 619-4334
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31423
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200590370B
—
OK
Enumeration date
04/13/2015
Last updated
01/19/2021
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