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Search › Oklahoma › 207Q00000X

Theodore Mickle, DO, MPH

NPI 1730177734 · on the registry since 2005 · sole proprietor

Practice

Address
921 Ne 13th St
Va Medical Center
Oklahoma City, OK 73104
Phone
(405) 736-2305
Fax
(405) 456-1623
Organisation at this address
Vah
Va Hospital
Va Hospital
Va Hospital
Va Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
687

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma