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NPI Code Detail

MEDICARE: MARIANNE BACHARACH MD

MEDICARE: MARIANNE BACHARACH MD
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
1207P00000XEmergency Medicine Physician21693OK

General Provider Information

NPI Number : 1811916042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNE BACHARACH MD
Provider Business Mailing Address
First Line : 1515 TOWER DR
Second Line :
City : MOORE
State : OK
Zip : 73160-6181
Country : US
Telephone Number : 405-310-0836
Fax Number : 405-758-5582
Provider Business Practice Location Address
First Line : 309 S ANN ARBOR AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73128-1112
Country : US
Telephone Number : 405-948-4900
Fax Number : 405-948-4933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/26/2024

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Directions to “ MARIANNE BACHARACH MD” Practice Location

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