Healthcare Provider Details

I. General information

NPI: 1811968399
Provider Name (Legal Business Name): CHRISTINE ELLEN CODDING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 03/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 NORTH SHARTEL AVENUE SUITE 700
OKLAHOMA CITY OK
73103-2433
US

IV. Provider business mailing address

1211 NORTH SHARTEL AVENUE SUITE 700
OKLAHOMA CITY OK
73103-2433
US

V. Phone/Fax

Practice location:
  • Phone: 405-702-6700
  • Fax: 405-702-6720
Mailing address:
  • Phone: 405-702-6700
  • Fax: 405-702-6720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number16183
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: