Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 32273 | OK |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 32273 | OK |
NPI | 1780818575 |
---|---|
Provider Name | Dr. Jameca Rene Price |
First Address | Oklahoma City, OK 73126-8838 |
Second Address | Tulsa, OK 74135-2527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2009 |
Last Update Date | 25/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200649790A | (05) | OK |