Organization
DANIEL L TALLERICO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL TALLERICO MD (DOCTOR)
(405) 471-6249
Entity
Organization
Contact information
Practice address
3863 S BOULEVARD ST, SUITE 100, EDMOND, OK 73013-5519
(405) 471-6249
(405) 471-6255
Mailing address
3863 S BOULEVARD, SUITE 100, EDMOND, OK 73013
(405) 471-6249
(405) 471-6255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10585
OK
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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