Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 30519 | OK |
N | 2086X0206X | Surgical Oncologist | 30519 | OK |
NPI | 1457768376 |
---|---|
Provider Name | Keren Bartal |
First Address | Oklahoma City, OK 73126 |
Second Address | Oklahoma City, OK 73126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2014 |
Last Update Date | 14/07/2014 |