Individual
MICKEY E. CRITTENDEN
Active
Individual
MICKEY E. CRITTENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11345
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110500B
—
OK
01
—
11345
LICENSE
OK
01
—
15429
OBNDD
OK
Enumeration date
07/04/2006
Last updated
04/28/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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