Individual
DON EDWARD DELOZIER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4802 S. 109TH E. AVE., TULSA, OK 74136-5822
(918) 392-1400
(918) 392-1488
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2590
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034580A
—
OK
Enumeration date
11/02/2005
Last updated
06/27/2011
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