Healthcare Provider Details

I. General information

NPI: 1497136006
Provider Name (Legal Business Name): MICHAEL CHISTOPHER PALMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3433 NW 56TH ST STE 760
OKLAHOMA CITY OK
73112-4461
US

IV. Provider business mailing address

3433 NW 56TH ST STE 760
OKLAHOMA CITY OK
73112-4461
US

V. Phone/Fax

Practice location:
  • Phone: 405-951-4345
  • Fax: 405-951-4392
Mailing address:
  • Phone: 405-951-4345
  • Fax: 405-951-4392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number39636
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: