Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 1179 | OK |
NPI | 1477721033 |
---|---|
Provider Name | Dr. Cynthia Anne Muhamedagic |
First Address | Oklahoma City, OK 73116-3631 |
Second Address | Oklahoma City, OK 73116-3631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2008 |
Last Update Date | 01/08/2013 |