Individual
MR. DANIEL LOUIS TALLERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4833 INTEGRIS PKWY, SUITE 200, EDMOND, OK 73034-8864
(405) 657-3950
(405) 471-0040
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 657-3950
(405) 471-0040
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10585
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163700A
—
OK
Enumeration date
11/07/2005
Last updated
02/08/2016
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