Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 3325 | OK |
NPI | 1023776895 |
---|---|
Provider Name | Miss Cali Jean Baughman |
First Address | Mcalester, OK 74501-4209 |
Second Address | Mcalester, OK 74501-4209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2021 |
Last Update Date | 29/11/2021 |