Individual
DR. RAYMOND W DEITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, PC
Contact information
Practice address
1100 SW 89TH ST, OKLAHOMA CITY, OK 73139-9104
(405) 632-7256
(405) 602-6420
Mailing address
1100 SW 89TH ST, OKLAHOMA CITY, OK 73139-9104
(405) 632-7256
(405) 602-6420
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2310
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194840A
—
OK
Enumeration date
05/18/2006
Last updated
09/19/2014
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