DIANA L DEFELICE

OWASSO, OK
NPI1649262270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  2160)
Enumeration Date2005-08-19
Last Update Date2015-10-06
Business Address
-- DIANA L DEFELICE DO
13616 E 103RD ST N STE A
OWASSO, OK 74055-4586
Phone number: 918-274-8555
Mailing Address
-- DIANA L DEFELICE DO
1717S UTICA AVE A
TULSA, OK 74104-5346
Phone number: 918-748-1300