Individual
BAILI REICHENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
920 STANTON L YOUNG BLVD, WP 3440, OKLAHOMA CITY, OK 73104-5036
(405) 271-5251
Mailing address
2908 ASTORIA WAY, EDMOND, OK 73034-5997
(405) 378-2727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6045
OK
Other
Enumeration date
05/19/2015
Last updated
03/17/2020
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