Individual
RICK D BELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 RENAISSANCE BLVD, SUITE 100, EDMOND, OK 73013-3084
(405) 348-3434
(405) 341-9429
Mailing address
720 S. COLORADO BLVD, SUITE 220A, GLENDALE, CO 80246-1912
(405) 348-3434
(405) 341-9429
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10007
OK
207XS0117X
Orthopaedic Surgery of the Spine Physician
10007
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100122800A
—
OK
01
—
400522439
MEDICARE GROUP NUMBER
OK
Enumeration date
09/20/2005
Last updated
06/30/2010
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