Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 4849 | OK |
N | 2080N0001X | Neonatal-Perinatal Doctor | 4849 | OK |
NPI | 1033306873 |
---|---|
Provider Name | Dr. Courtney Brooke Atchley |
First Address | Oklahoma City, OK 73107-1818 |
Second Address | Oklahoma City, OK 73112-2098 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2007 |
Last Update Date | 05/11/2020 |