Individual
VEDMIA LUTHER FONKEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4337 NW 50TH ST, OKLAHOMA CITY, OK 73112-2248
(405) 946-0611
Mailing address
4337 NW 50TH ST, OKLAHOMA CITY, OK 73112-2248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33965
OK
208M00000X
Hospitalist Physician
33965
OK
Other
Enumeration date
04/13/2018
Last updated
01/12/2023
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