Provider Demographics
NPI:1760500250
Name:GETTYS, PAULA BELLE (MD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:BELLE
Last Name:GETTYS
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 1:400 NORTH OAK
Mailing Address - Street 2:EDDIE WARRIOR CORRECTIONAL CENTER
Mailing Address - City:TAFT
Mailing Address - State:OK
Mailing Address - Zip Code:74463-0315
Mailing Address - Country:US
Mailing Address - Phone:918-683-8365
Mailing Address - Fax:
Practice Address - Street 1:400 OAK STREET
Practice Address - Street 2:
Practice Address - City:TAFT
Practice Address - State:OK
Practice Address - Zip Code:74463-0315
Practice Address - Country:US
Practice Address - Phone:918-683-8365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15763207Q00000X
CAG66666207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine