Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 036091783 | IL |
Y | 2086S0105X | Surgery of the Hand | 24413 | OK |
NPI | 1760403281 |
---|---|
Provider Name | Margaret A Porembski |
First Address | Norman, OK 73072-3376 |
Second Address | Oklahoma City, OK 73112-4462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 18/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G23070 | (02) | WA |