Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 15346 | OK |
NPI | 1013948454 |
---|---|
Provider Name | Barbara L Voss-Alvarez |
First Address | Oklahoma City, OK 73120-5039 |
Second Address | Oklahoma City, OK 73120-5039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0784740001 | DMERC REGION C (01) | |
E84178 | (02) |