Provider Demographics
NPI:1942490495
Name:DONNA J. PRICE, D.O. P.C.
Entity Type:Organization
Organization Name:DONNA J. PRICE, D.O. P.C.
Other - Org Name:FAMILY MEDICINE OF GLENPOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-322-3838
Mailing Address - Street 1:PO BOX 969
Mailing Address - Street 2:
Mailing Address - City:GLENPOOL
Mailing Address - State:OK
Mailing Address - Zip Code:74033-0969
Mailing Address - Country:US
Mailing Address - Phone:918-322-3838
Mailing Address - Fax:918-322-3827
Practice Address - Street 1:159 W. 146TH ST
Practice Address - Street 2:
Practice Address - City:GLENPOOL
Practice Address - State:OK
Practice Address - Zip Code:74033
Practice Address - Country:US
Practice Address - Phone:918-322-3838
Practice Address - Fax:918-322-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty