Organization
DEACONESS PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN A PEOPLES (VICE PRESIDENT)
87789298136154657585
Entity
Organization
Contact information
Practice address
5401 N PORTLAND AVE, SUITE 410, OKLAHOMA CITY, OK 73112-2121
(405) 943-6200
(405) 943-0080
Mailing address
5401 N PORTLAND AVE, SUITE 410, OKLAHOMA CITY, OK 73112-2121
(405) 943-6200
(405) 943-0080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
01/17/2013
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