Individual
EMILY DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N LINCOLN BLVD STE 2900, OKLAHOMA CITY, OK 73104-3252
(405) 271-3613
Mailing address
1000 N LINCOLN BLVD STE 2900, OKLAHOMA CITY, OK 73104-3252
(405) 271-3613
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
45609
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
05/20/2025
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