Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 27720 | OK |
NPI | 1457532046 |
---|---|
Provider Name | Dr. Dena Elaine O'leary |
First Address | Oklahoma City, OK 73112-5556 |
Second Address | Edmond, OK 73034-8864 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2007 |
Last Update Date | 08/02/2018 |