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Individual

RODERICK PURDIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-2912
(918) 579-7387
Mailing address
1145 S UTICA AVE, TULSA, OK 74104-4000
(918) 579-3825
(918) 579-1262

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19098
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100125940B
OK
Enumeration date
06/26/2006
Last updated
05/19/2014
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