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Organization

DEACONESS EMERGENCY PHYSICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY D BRINDLEY M.D. (PRESIDENT)
(405) 604-6000
Entity
Organization

Contact information

Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 604-6000
Mailing address
5925 N ANN ARBOR AVE, OKLAHOMA CITY, OK 73122-7526

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary

Other

Enumeration date
07/19/2006
Last updated
08/22/2020
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