Individual
CHARLES J ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
(405) 290-1887
Mailing address
7348 EDENBOROUGH DR, OKLAHOMA CITY, OK 73132-5616
(405) 270-0501
(405) 290-1887
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
15773
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77948
EMPOYE IDENTIFICATION NUM
OK
Enumeration date
10/17/2006
Last updated
07/08/2007
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