Individual
DR. DEREK F NORCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7313 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2007
(405) 251-8884
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(629) 224-1621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43670
OK
207Q00000X
Family Medicine Physician
67415
TN
207Q00000X
Family Medicine Physician
MD21044
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151180
—
OR
Enumeration date
06/06/2006
Last updated
10/25/2024
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