Healthcare Provider Details

I. General information

NPI: 1053547950
Provider Name (Legal Business Name): AARON SCOTT SIZELOVE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2009
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 E GARRIOTT RD SUITE B
ENID OK
73701-6153
US

IV. Provider business mailing address

1003 US HIGHWAY 64
BUFFALO OK
73834-8912
US

V. Phone/Fax

Practice location:
  • Phone: 580-213-9745
  • Fax: 580-234-5749
Mailing address:
  • Phone: 580-735-2555
  • Fax: 580-735-2574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4958
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: