Individual
MRS. PEGGY CULVER DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1117 S DOUGLAS BLVD, STE D, MIDWEST CITY, OK 73130-5262
(405) 741-8686
(405) 733-9621
Mailing address
1117 S DOUGLAS BLVD, STE D, MIDWEST CITY, OK 73130-5262
(405) 741-8686
(405) 733-9621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12925
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100128550A
—
OK
Enumeration date
08/24/2005
Last updated
10/01/2012
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