Individual
ALYSSA MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(800) 841-4236
Mailing address
PO BOX 21228, TULSA, OK 74121-1228
(008) 414-2368
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32296
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2015
Last updated
02/23/2024
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