Individual
CHRISTINE G DIENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3433 NW 56TH ST STE 400, OKLAHOMA CITY, OK 73112-4430
(405) 947-3341
(405) 945-3126
Mailing address
3433 NW 56TH ST STE 400, OKLAHOMA CITY, OK 73112-4430
(405) 947-3341
(405) 945-3197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5848
OK
207RC0000X
Cardiovascular Disease Physician
4352
IA
207RC0000X
Cardiovascular Disease Physician
Primary
5848
OK
208D00000X
General Practice Physician
UO2253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200617410A
—
OK
Enumeration date
10/06/2009
Last updated
11/21/2019
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