Individual
CHRISTY D MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10507 EAST 91ST, SUITE 420, TULSA, OK 74133
(918) 307-3290
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20767
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084220A
—
OK
01
—
800522535
MEDICARE GROUP PIN
OK
Enumeration date
01/27/2006
Last updated
10/22/2010
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