Healthcare Provider Details

I. General information

NPI: 1336346337
Provider Name (Legal Business Name): MICHAEL EDWIN CONFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 NE 10TH ST # L100
OKLAHOMA CITY OK
73104-5418
US

IV. Provider business mailing address

800 NE 10TH ST # L100
OKLAHOMA CITY OK
73104-5418
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-5641
  • Fax: 405-271-8297
Mailing address:
  • Phone: 405-271-5641
  • Fax: 405-271-8297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number25799
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: