Individual
DUSTIN SHAWN TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1553 N PORTER AVE, NORMAN, OK 73071-6621
(405) 217-8500
Mailing address
1553 N PORTER AVE, NORMAN, OK 73071-6621
(405) 217-8500
(405) 217-8501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25729
OK
Other
Enumeration date
06/22/2007
Last updated
10/22/2019
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