Mickey E. Crittenden in Oklahoma City - Pediatrics

Mickey E. Crittenden - NPI 1902836901

Mickey E. Crittenden is a Pediatrics in Oklahoma City, Oklahoma. Mickey E. Crittenden practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mickey E. Crittenden is 1902836901. The last update date is 2014-04-28.

Mickey E. Crittenden's current location address is 4401 W Memorial Rd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057523162 and fax number 4059365211. The mailing address for Mickey E. Crittenden is 4401 W Memorial Rd, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Mickey E. Crittenden
Address 4401 W Memorial Rd, Oklahoma City, Oklahoma
Phone Number 4057523162
Fax Number 4059365211
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1902836901
Provider Enumeration Date 2006-07-04
Last Updated Date 2014-04-28

Provider Mailing Address Detail

Address 4401 W Memorial Rd
City Oklahoma City
State Oklahoma (OK)
Post Code 731341785
Phone Number 4057523162
Fax Number 4059365211

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 11345
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15429 OK OBNDD
100110500B OK --
11345 OK LICENSE

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FAQs about Mickey E. Crittenden

What is the unique 10-digit identifier code issued to Mickey E. Crittenden by the Centers for Medicare & Medicaid Services?

The Mickey E. Crittenden has been assigned the NPI (National Provider Identifier) 1902836901 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Mickey E. Crittenden is physically located?

The Mickey E. Crittenden is physically situated at the following address: 4401 W Memorial Rd, Oklahoma City, OK, 731341785.

What is Mickey E. Crittenden's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mickey E. Crittenden is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Mickey E. Crittenden receive the assignment of its 1902836901 from the Centers for Medicare & Medicaid Services?

The Mickey E. Crittenden was issued its 1902836901 by the Centers for Medicare & Medicaid Services on 2006-07-04.

As of what date were the details related to Mickey E. Crittenden most recently updated or revised?

The information pertaining to Mickey E. Crittenden, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-28.

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