Individual
PHILIP J RETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N PHILLIPS AVE, SUITE 7500, OKLAHOMA CITY, OK 73104-4600
(405) 271-6208
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
12386
OK
2080P0208X
Pediatric Infectious Diseases Physician
12386
OK
Other
Enumeration date
03/11/2006
Last updated
01/14/2011
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