Provider Demographics
NPI:1033306873
Name:ATCHLEY, COURTNEY BROOKE (DO)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:BROOKE
Last Name:ATCHLEY
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16400 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8971
Mailing Address - Country:US
Mailing Address - Phone:405-471-6800
Mailing Address - Fax:405-471-6811
Practice Address - Street 1:16400 N MAY AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8971
Practice Address - Country:US
Practice Address - Phone:405-471-6800
Practice Address - Fax:405-471-6811
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4849208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics