Individual
PAUL DEE DAUTENHAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10506 S MEMORIAL DR, TULSA, OK 74133-6914
(918) 943-1050
(918) 369-3209
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
15259
OK
207Q00000X
Family Medicine Physician
Primary
15259
OK
Other
Enumeration date
02/22/2007
Last updated
08/09/2019
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