Elizabeth A Wickersham in Oklahoma City - Pain Medicine

Elizabeth A Wickersham - NPI 1992706048

Elizabeth A Wickersham is a Pain Medicine in Oklahoma City, Oklahoma. Elizabeth A Wickersham practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Elizabeth A Wickersham is 1992706048. The last update date is 2023-10-25.

Elizabeth A Wickersham's current location address is 4345 W Memorial Rd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4054187000 and fax number 4054187099. The mailing address for Elizabeth A Wickersham is 4345 W Memorial Rd, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth A Wickersham
Address 4345 W Memorial Rd, Oklahoma City, Oklahoma
Phone Number 4054187000
Fax Number 4054187099
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1992706048
Provider Enumeration Date 2005-08-10
Last Updated Date 2023-10-25

Provider Mailing Address Detail

Address 4345 W Memorial Rd
City Oklahoma City
State Oklahoma (OK)
Post Code 731341702
Phone Number 4054187000
Fax Number 4054187099

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 208Vp0000X
Licence No 20273
Definition:
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and t

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200036870A OK --

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FAQs about Elizabeth A Wickersham

What is the Elizabeth A Wickersham's unique identification number?

The Elizabeth A Wickersham has been assigned the NPI (National Provider Identifier) Number 1992706048 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Elizabeth A Wickersham's facilities are geographically located?

The facilities of Elizabeth A Wickersham are physically situated at the following location: 4345 W Memorial Rd, Oklahoma City, OK, 731341702.

What is Elizabeth A Wickersham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Elizabeth A Wickersham is Pain Medicine, and the taxonomy code that classifies this field of practice is 208Vp0000X.

On what date did the Elizabeth A Wickersham receive its 1992706048 assignment from the Centers for Medicare & Medicaid Services?

The Elizabeth A Wickersham was assigned its 1992706048 by the Centers for Medicare & Medicaid Services on 2005-08-10.

As of what date were the Elizabeth A Wickersham's details last updated?

The information pertaining to the Elizabeth A Wickersham, including its address, specialty, and other details, was most recently updated on 2023-10-25.

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