Individual
DR. DAN RAYMOND NORTHEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3410
(405) 632-4000
(405) 632-4073
Mailing address
4201 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3410
(405) 632-4000
(405) 632-4073
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10600
OK
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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