| Valerie B Manning Do Pllc | |
|
3330 Nw 56th St Suite 305 Oklahoma City OK 73112-4479 | |
| (405) 945-5240 | |
| (405) 945-5263 |
| Full Name | Valerie B Manning Do Pllc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 3330 Nw 56th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Valerie B Manning (PHYSICIAN) |
| Authorized Official Contact | 4059455240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valerie B Manning Do Pllc 3330 Nw 56th Street Suite 305 Oklahoma City OK 73112-4426 Ph: (405) 945-5240 | Valerie B Manning Do Pllc 3330 Nw 56th St Suite 305 Oklahoma City OK 73112-4479 Ph: (405) 945-5240 |
| NPI Number | 1275518367 |
|---|---|
| Provider Enumeration Date | 12/12/2005 |
| Last Update Date | 08/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275518367 | NPI | - | NPPES |
| 100019470A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 3811 (Oklahoma) | Primary |
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