DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. THEODORE ARTHUR MICKLE JR. DO, MPH

MEDICARE: DR. THEODORE ARTHUR MICKLE JR. DO, MPH
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
1207Q00000XFamily Medicine Physician29986NC

General Provider Information

NPI Number : 1730177734
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THEODORE ARTHUR MICKLE JR. DO, MPH
Provider Business Mailing Address
First Line : 4204 NW 143RD ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-1725
Country : US
Telephone Number : 405-748-3925
Fax Number :
Provider Business Practice Location Address
First Line : 921 NE 13TH ST
Second Line : VA MEDICAL CENTER
City : OKLAHOMA CITY
State : OK
Zip : 73104-5007
Country : US
Telephone Number : 405-736-2305
Fax Number : 405-456-1623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 03/25/2010

Similar Medicare Providers

1457717928 — DYANNA JOHNSTON APRN, NP-C
Practice Location Address:
921 NE 13TH ST
OKLAHOMA CITY, OK
73104-5007
Practice Phone: 572-206-6152
Practice Fax:
1679253751 — ASHLEY KILPATRICK LCSW
Practice Location Address:
921 NE 13TH ST
OKLAHOMA CITY, OK
73104-5007
Practice Phone: 405-456-5100
Practice Fax:
1790770691 — DR. JILL DAVIS ANDERSON PHARMD
Practice Location Address:
921 NE 13TH ST
OKLAHOMA CITY, OK
73104-5007
Practice Phone: 405-456-1000
Practice Fax:
1609862093 — DR. LEON A PONTIKES MD
Practice Location Address:
921 NE 13TH ST
OKLAHOMA CITY, OK
73104-5007
Practice Phone: 405-456-3409
Practice Fax:
1528056165 — BRUCE H LEVIN MD
Practice Location Address:
921 NE 13TH ST
OKLAHOMA CITY, OK
73104-5007
Practice Phone: 405-456-3235
Practice Fax:
1659361665 — MICHAEL ALLAN GRIM PH.D.
Practice Location Address:
921 NE 13TH ST , VAMC AUDIOLOGY #126
OKLAHOMA CITY, OK
73104-5007
Practice Phone: 405-270-0501
Practice Fax:

Directions to “ DR. THEODORE ARTHUR MICKLE JR. DO, MPH” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.