Individual
RAFFI DJEVALIKIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DEWEY BARTLETT & MAIN, HENRYETTA, OK 74437
(918) 650-1301
(918) 650-0568
Mailing address
PO BOX 1269, HENRYETTA, OK 74437-1269
(918) 650-1301
(918) 650-0568
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22166
OK
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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