Individual provider · Type 1 NPI

Marvis Mimba

General Practice Physician · Oklahoma City, OK

NPI number 1073343828 Active

Practice location

4101 Perimeter Center Dr
Oklahoma City, OK 73112-2302

Call (563) 766-7014 Map

Mailing address

2828 NW 57th St
Oklahoma City, OK 73112-6814

Other practice locations

  • 2828 NW 57th St, Oklahoma City, OK 73112-6814 · (405) 418-4777

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X219763 (OK)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1073343828

Marvis Mimba's National Provider Identifier is 1073343828, issued on Aug 6, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Nov 10, 2024.