MEDICARE: DR. CHRISTINE ELLEN CODDING 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
1	207RR0500X	Rheumatology Physician	16183	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	:	1811968399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE ELLEN CODDING MD

Provider Business Mailing Address
First Line	:	1211 NORTH SHARTEL AVENUE
Second Line	:	SUITE 700
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73103-2433
Country	:	US
Telephone Number	:	405-702-6700
Fax Number	:	405-702-6720

Provider Business Practice Location Address
First Line	:	1211 NORTH SHARTEL AVENUE
Second Line	:	SUITE 700
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73103-2433
Country	:	US
Telephone Number	:	405-702-6700
Fax Number	:	405-702-6720

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	03/01/2010

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