Individual
DR. ELIZABETH ANN FAIRLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5065
(405) 271-7816
Mailing address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5065
(405) 271-1092
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
37982
OK
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
37982
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
03/02/2026
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