Individual
JANE DETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3962
(405) 752-3963
Mailing address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3962
(405) 752-3963
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
5551
OK
Other
Enumeration date
04/29/2013
Last updated
07/29/2016
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