Most Relevant Information
Provider Data
| NPI Number: | 1003347048 |
| Provider Name: | ALYSSA PENICK |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 6471 |
Most Important Dates
| Enumeration Date: | 03/22/2017 |
| Last Updated: | 01/10/2019 |
Provider Practice Location
608 NW 9TH ST STE 1100
OKLAHOMA CITY
OK
731021015
Practice Location Phone/Fax
| Phone: | 4052313000 |
| Fax: |
Provider Mailing Location
608 NW 9TH ST STE 1100
OKLAHOMA CITY
OK
731021015
Provider Mailing Phone/Fax
| Phone: | 4052313000 |
| Fax: |
Suggested EMR
Family Practice EMR