DEACON VICE

OKLAHOMA CITY, OK
NPI1073934352
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OK  5644)
Enumeration Date2014-01-03
Last Update Date2014-10-03
Business Address
-- DEACON VICE D.O.
4200 S DOUGLAS AVE SUITE 306
OKLAHOMA CITY, OK 73109-3223
Phone number: 405-636-7709
Mailing Address
-- DEACON VICE D.O.
4200 S. DOUGLAS SUITE 306
OKLAHOMA CIRY, OK 73109
Phone number:
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