# DEACONESS EMERGENCY PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871512087
- **Authorized official:** MR. JERRY D BRINDLEY M.D. (PRESIDENT)
- **Authorized official phone:** (405) 604-6000

## Contact information

- **Practice address:** 5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
- **Practice address phone:** (405) 604-6000
- **Mailing address:** 5925 N ANN ARBOR AVE, OKLAHOMA CITY, OK 73122-7526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/22/2020
