Provider Demographics
NPI:1396760302
Name:HOWARD, ROBERT FREMONT (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FREMONT
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1245 S. UTICA AVE.
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4214
Mailing Address - Country:US
Mailing Address - Phone:918-579-2590
Mailing Address - Fax:918-579-2599
Practice Address - Street 1:1245 S. UTICA AVE.
Practice Address - Street 2:3RD FLOOR
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4214
Practice Address - Country:US
Practice Address - Phone:918-579-2590
Practice Address - Fax:918-579-2599
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14764207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100790180AMedicaid
OKOKA101627Medicare PIN