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Christian Claude Mackley, DO

Student in an Organized Health Care Education/Training Program in Tulsa, OK. Individual provider (NPI-1).

NPI number1295537579
StatusActive
Last updated in NPPESMar 26, 2025

Details

NPI
1295537579
Entity type
Individual (NPI-1)
Name
Christian Claude Mackley
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 26, 2025
Certification date
Mar 26, 2025
Last updated
Mar 26, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

744 W 9th St
Tulsa, OK 74127-9907

Phone 918-599-1000

Mailing address

744 W 9th St
Tulsa, OK 74127-9907

Phone 816-262-1244

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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