Provider Demographics
NPI:1831319938
Name:NOLAN, ELIZABETH MCALLISTER (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MCALLISTER
Last Name:NOLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:
Other - Last Name:NOLAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:725 NW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2429
Mailing Address - Country:US
Mailing Address - Phone:405-278-8006
Mailing Address - Fax:405-290-7388
Practice Address - Street 1:725 NW 11TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2429
Practice Address - Country:US
Practice Address - Phone:405-278-8006
Practice Address - Fax:405-290-7388
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD18970207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery