Individual
DR. ERIC M DEDEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10914 HEFNER POINTE DR STE 202, OKLAHOMA CITY, OK 73120-5071
(405) 815-6840
(405) 815-6839
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 815-6840
(405) 815-6839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24455
OK
2083C0008X
Clinical Informatics Physician
24455
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200065740A
—
OK
Enumeration date
06/03/2006
Last updated
11/16/2020
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