Unknown Individual – Gynecology Physician, NPI 1083650451
Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3555, Northwest 58th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
SUITE 900
OKLAHOMA CITY, OK 731124707
Phone: (405) 917-0418
Fax: (405) 917-0419
Type: Mailing
2340, East Main Street, Cushing, Payne County, Oklahoma, 74023, United States
SUITE 1
CUSHING, OK 740232905
Phone: (918) 225-6904
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73112)
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