Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | OK15340 | OK |
NPI | 1104870344 |
---|---|
Provider Name | Miss Aleda A Toma |
First Address | Oklahoma City, OK 73112-4550 |
Second Address | Oklahoma City, OK 73112-4550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 24/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100107390A | (05) | OK |