MEDICARE: WHITNEY BEHR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	242T00000X	Perfusionist	LP 101	OK

General Provider Information

NPI Number	:	1366873374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY BEHR

Provider Business Mailing Address
First Line	:	PO BOX 12815
Second Line	:	3601 N MAY AVENUE SUITE C
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73157-2815
Country	:	US
Telephone Number	:	405-604-5613
Fax Number	:	405-601-3750

Provider Business Practice Location Address
First Line	:	3601 N MAY AVE STE C
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-6659
Country	:	US
Telephone Number	:	405-604-5613
Fax Number	:	405-601-3750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2013
Last Update Date	:	12/02/2013

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Directions to “ WHITNEY BEHR ” Practice Location

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