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Individual

DAVID C TEAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 NE 10TH ST, OUPB1300, OKLAHOMA CITY, OK 73104-5417
(405) 271-6663
(405) 271-6762
Mailing address
1122 NE 13TH ST, ORI274, OKLAHOMA CITY, OK 73117-1039
(405) 271-2663
(405) 271-6762

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
16967
OK
207XX0801X
Orthopaedic Trauma Physician
Primary
16967
OK

Other

Enumeration date
03/09/2006
Last updated
09/30/2014
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