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Organization
DEACONESS PHYSICIAN SERVICES LLC
Active
Organization
DEACONESS PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES P WRIGHT (SR. DIRECTOR)
(615) 465-7587
Entity
Organization
Contact information
Practice address
11101 HEFNER POINTE DR, OKLAHOMA CITY, OK 73120-5054
(405) 751-5555
(405) 751-0726
Mailing address
4000 MERIDICAN BLVD, FRANKLIN, TN 37067-6325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
NULL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058320B
—
OK
Enumeration date
03/23/2006
Last updated
08/28/2014
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