Doctor Name: | JOSEPH CALEB MITRO |
NPI Number: | 1043268873 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 22660 |
Business Practice Address: | 1201 Health Center Pkwy Suite 240 Yukon, OK - 730996381 |
Business Phone Number: | 4057175496 |
Business Fax Number: | 4057175499 |
Mailing Address: | 5300 N Independence Ave, Suite 280 OKLAHOMA CITY |
State: | OK |
Postal Code: | 731125556 |
Phone Number: | 4057175496 |
Fax Number: | 4057175499 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 02/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 22660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |