Individual
DR. SUSAN M DIMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3317 E MEMORIAL RD, SUITE 103, EDMOND, OK 73013-7105
(405) 475-0100
Mailing address
3317 E MEMORIAL RD STE 103, EDMOND, OK 73013-7095
(405) 475-0100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15279
OK
Other
Enumeration date
05/10/2006
Last updated
01/05/2011
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