NPI 1073343828

Marvis Mimba

Practitioner General Practice Physician Oklahoma City, OK

Practice location

Address: 4101 Perimeter Center Dr, Oklahoma City, OK 73112-2302
Phone: (563) 766-7014
Mailing address: 2828 NW 57th St, Oklahoma City, OK 73112-6814

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 219763 (OK)

Other General Practice providers in Oklahoma →

Registry record

NPI: 1073343828
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2024
Record last updated: 10 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.