Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE ARTHUR MICKLE JR., DO, MPH
Active Sole ProprietorDR. THEODORE ARTHUR MICKLE JR., DO, MPH is a Family Medicine healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1730177734 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1730177734
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2005 (20.804155902808 yrs)
- Last Updated
- Mar 25, 2010
- License
-
29986 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
921 NE 13TH STVA MEDICAL CENTEROKLAHOMA CITY, OK, 731045007Browse OK providers · Browse ZIP 73104
- Phone
- 4057362305
- Fax
- 4054561623
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| DR. CYNTHIA M BRENNAN | M.D. | 1013910264 |
| ALEXA G WOODSON | MD | 1720082266 |
| REBECCA LYNN BARRETT | MD | 1194720359 |
| DR. CARL PATRICK GRIFFIN | M.D. | 1003813825 |
| RONALD R. HOPKINS | DO | 1144228784 |
| DANIEL CLAYTON CLINKENBEARD | MD | 1629076963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.