MEDICARE: MARILYN APPIAH DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	4050	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194757963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYN APPIAH DO

Provider Business Mailing Address
First Line	:	PO BOX 1330
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73070-1330
Country	:	US
Telephone Number	:	405-793-2229
Fax Number	:	405-307-6660

Provider Business Practice Location Address
First Line	:	2625 SW 119TH ST
Second Line	:	SUITE A
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-2654
Country	:	US
Telephone Number	:	405-793-2229
Fax Number	:	405-912-3579

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	02/01/2013

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Directions to “ MARILYN APPIAH DO” Practice Location

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