Organization
SOUTH OKC WOMEN'S HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND DEITER DO (PROPRIETOR)
(405) 632-7256
Entity
Organization
Contact information
Practice address
1100 SW 89TH ST, OKLAHOMA CITY, OK 73139-9104
(405) 632-7256
(405) 692-7673
Mailing address
1100 SW 89TH ST, OKLAHOMA CITY, OK 73139-9104
(405) 632-7256
(405) 692-7673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2310
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051330Q
—
OK
Enumeration date
04/25/2007
Last updated
06/18/2008
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