Healthcare Provider Details

I. General information

NPI: 1225041270
Provider Name (Legal Business Name): NANCY SATZLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 02/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3366 NW EXPRESSWAY STE 280
OKLAHOMA CITY OK
73112-4457
US

IV. Provider business mailing address

PO BOX 982
MUSTANG OK
73064-0982
US

V. Phone/Fax

Practice location:
  • Phone: 405-745-7753
  • Fax: 405-745-6798
Mailing address:
  • Phone: 405-745-7753
  • Fax: 405-745-6798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number17157
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: