Provider Demographics
NPI:1225041270
Name:SATZLER, NANCY (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:SATZLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 982
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-0982
Mailing Address - Country:US
Mailing Address - Phone:405-745-7753
Mailing Address - Fax:405-745-6798
Practice Address - Street 1:3366 NW EXPRESSWAY STE 280
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4457
Practice Address - Country:US
Practice Address - Phone:405-745-7753
Practice Address - Fax:405-745-6798
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK17157207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100096900AMedicaid
OK400522116OtherM'CARE
OK100096900AMedicaid