Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 27256 | OK |
N | 207SG0201X | Clinical Genetics (M.D.) | ME118240 | FL |
N | 207V00000X | Obstetrician & Gynecologist | 27256 | OK |
N | 207V00000X | Obstetrician & Gynecologist | ME 118240 | FL |
NPI | 1154521722 |
---|---|
Provider Name | Danielle Demarzo |
First Address | Oklahoma City, OK 73104-4637 |
Second Address | Oklahoma City, OK 73104-4637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 29/01/2019 |