Provider Demographics
NPI:1336280973
Name:MANNING, VALERIE BLANCHE (DO)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:BLANCHE
Last Name:MANNING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1330
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-1330
Mailing Address - Country:US
Mailing Address - Phone:405-307-6630
Mailing Address - Fax:405-307-6660
Practice Address - Street 1:2625 SW 119TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-2654
Practice Address - Country:US
Practice Address - Phone:405-515-0310
Practice Address - Fax:405-307-5657
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2021-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK3811207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKH30993Medicare UPIN