Individual
MADELINE BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 NW 9TH ST STE 100, OKLAHOMA CITY, OK 73106-7248
(405) 815-5050
(405) 815-5051
Mailing address
800 NW 9TH ST STE 100, OKLAHOMA CITY, OK 73106-7248
(405) 815-5050
(405) 815-5051
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
106661
OK
Other
Enumeration date
08/17/2016
Last updated
09/28/2022
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