Provider Demographics
NPI:1154615102
Name:HOWARD, VALERIE MICHELLE (DO)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:MICHELLE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:550 S PEORIA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-3820
Mailing Address - Country:US
Mailing Address - Phone:918-588-1900
Mailing Address - Fax:918-382-1285
Practice Address - Street 1:550 S PEORIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-3820
Practice Address - Country:US
Practice Address - Phone:918-588-1900
Practice Address - Fax:918-382-1285
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK5230207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK73-1042545OtherGROUP BCBS
OK100732910-AOtherGROUP MEDICAID
OK200439130AMedicaid
OK731042545001OtherGROUP TRICARE
OK73-1042545OtherGROUP MEDICARE
OK73-1042545OtherGROUP COMMUNITY CARE OF OKLAHOMA
OK100732910-GOtherGROUP MEDICAID