Individual
CHRISTOPHER S DELOACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1373 E. BOONE ST., SUITE 3401, TAHLEQUAH, OK 74464-3234
(918) 456-6848
(918) 456-1150
Mailing address
1373 E. BOONE ST., SUITE 3401, TAHLEQUAH, OK 74464-3234
(918) 456-6848
(918) 456-1150
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3349
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256650B
—
OK
Enumeration date
07/31/2006
Last updated
09/12/2012
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