Provider Demographics
NPI:1235461583
Name:HARDEN, MONICA ELAINE (DO)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ELAINE
Last Name:HARDEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1324 N HARVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1514
Mailing Address - Country:US
Mailing Address - Phone:580-252-1373
Mailing Address - Fax:580-252-8336
Practice Address - Street 1:1921 W 6TH AVE STE A
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4204
Practice Address - Country:US
Practice Address - Phone:405-533-2433
Practice Address - Fax:833-623-1822
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK5110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine