Individual
ROCKEY TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9020 E RENO AVE STE 100, MIDWEST CITY, OK 73130-3336
(405) 732-7119
(405) 732-7120
Mailing address
1001 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5251
(405) 582-7972
(405) 733-7167
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34815
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3859146
—
TN
01
—
4045048
BCBS OF TN
TN
05
—
64128846
—
KY
01
—
P00282986
RAILROAD MEDICARE
TN
Enumeration date
06/04/2006
Last updated
08/09/2018
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