Organization
PERIGON ALZHEIMERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK PRENTICE (OWNER)
(405) 650-4786
Entity
Organization
Contact information
Practice address
10914 HEFNER POINTE DR STE 102, OKLAHOMA CITY, OK 73120-5066
(405) 877-4047
(800) 420-1356
Mailing address
PO BOX 18484, OKLAHOMA CITY, OK 73154-0484
(405) 418-2200
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
02/01/2024
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