Individual
BETH A GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
1000 N LINCOLN BLVD STE 1308, OKLAHOMA CITY, OK 73104-3252
(405) 421-2959
(405) 271-2836
Mailing address
1000 N LINCOLN BLVD STE 1308, OKLAHOMA CITY, OK 73104-3252
(405) 421-2959
(405) 271-2836
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
647679
MEDICARE DIABETIC PREVENTION PROGRAM
OK
Enumeration date
01/23/2018
Last updated
09/21/2018
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