Doctor Name: | DR. CONSTANCE GILBERT HONEYCUTT |
NPI Number: | 1275518045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 3069 |
Business Practice Address: | 13809 S Casper St Suite D Glenpool, OK - 740332618 |
Business Phone Number: | 9182910189 |
Business Fax Number: | 9182910190 |
Mailing Address: | 13809 S Casper St, Suite D GLENPOOL |
State: | OK |
Postal Code: | 740332618 |
Phone Number: | 9182910189 |
Fax Number: | 9182910190 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 04/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 3069 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |