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Individual

SAMUEL EDWARD DAKIL II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 E ROBINSON ST, SUITE 1300, NORMAN, OK 73071-6697
(405) 360-9966
(405) 360-9905
Mailing address
500 E ROBINSON ST, SUITE 1300, NORMAN, OK 73071-6697
(405) 360-9966
(405) 360-9905

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14289
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100124080A
OK
01
731303042001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
03/29/2006
Last updated
12/17/2019
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