Provider Demographics
NPI:1811968399
Name:CODDING, CHRISTINE ELLEN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ELLEN
Last Name:CODDING
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1211 NORTH SHARTEL AVENUE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2433
Mailing Address - Country:US
Mailing Address - Phone:405-702-6700
Mailing Address - Fax:405-702-6720
Practice Address - Street 1:1211 NORTH SHARTEL AVENUE
Practice Address - Street 2:SUITE 700
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2433
Practice Address - Country:US
Practice Address - Phone:405-702-6700
Practice Address - Fax:405-702-6720
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK16183207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100255870AMedicaid
OK100255870AMedicaid
OKD34510Medicare UPIN
OK243501902Medicare ID - Type Unspecified