MADELINE DERTING

OKLAHOMA CITY, OK
NPI1124846480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  5638)
Enumeration Date2024-09-26
Last Update Date2025-10-28
Business Address
MADELINE DERTING
700 NE 10TH ST
OKLAHOMA CITY, OK 73104-5404
Phone number: 405-271-3635
Mailing Address
MADELINE DERTING
910 W HILL ST
OKLAHOMA CITY, OK 73118-7257
Phone number:
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