Individual
DARBY GRACE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
6600 NW 63RD ST, OKLAHOMA CITY, OK 73132-7205
(405) 783-3004
Mailing address
6600 NW 63RD ST, OKLAHOMA CITY, OK 73132-7205
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
221720
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221720
NBSTSA
—
Enumeration date
09/28/2023
Last updated
09/28/2023
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