Individual
COLBY DEGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5801 E 41ST ST STE 900, TULSA, OK 74135-5631
(918) 743-8943
(918) 743-8552
Mailing address
5801 E 41ST ST STE 900, TULSA, OK 74135-5631
(918) 743-8943
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6641
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2017
Last updated
08/15/2023
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