Individual
ALEIA CRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 NE 10TH ST, OKLAHOMA CITY, OK 73104
(405) 271-7770
Mailing address
800 NE 10TH ST, OKLAHOMA CITY, OK 73104-5418
(405) 271-7770
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
31133
OK
207VX0201X
Gynecologic Oncology Physician
35134597
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307406
—
OH
Enumeration date
07/06/2011
Last updated
11/03/2023
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