Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 10144 | OK |
NPI | 1306808928 |
---|---|
Provider Name | Martha M Tarpay |
First Address | Oklahoma City, OK 73120-9350 |
Second Address | Oklahoma City, OK 73120-9350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 14/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D42868 | (02) | OK |