Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 19578 | OK |
N | 207VG0400X | Gynecologist | 19578 | OK |
NPI | 1518925692 |
---|---|
Provider Name | Karen Marie-Pierce Gold |
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 | 01/05/2006 |
Last Update Date | 24/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100136940D | (05) | OK |
H86419 | (02) | OK |