Provider Demographics
NPI:1376837377
Name:PALM, SARAH M (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:PALM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14424 N MAY AVE STE B
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-5155
Mailing Address - Country:US
Mailing Address - Phone:405-757-7818
Mailing Address - Fax:405-703-3116
Practice Address - Street 1:14424 N MAY AVE STE B
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-5155
Practice Address - Country:US
Practice Address - Phone:405-757-7818
Practice Address - Fax:405-703-3116
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK28563208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics