Dustin Shawn Tedesco MD

NPI 1649476136 - Internal Medicine - 207R00000X

NPI Details
NPI 1649476136
Gender Male
Enumeration Date 06/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
920 STANTON L YOUNG BLVD
WP 1130
OKLAHOMA CITY OK, 73104-5020, US
Phone (405) 271-5963
Fax
Business Location
940 STANTON L YOUNG BLVD
BMSB 357
OKLAHOMA CITY OK, 73104-5020, US
Phone (405) 271-2265
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Oklahoma
License Number 25729
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According to our database, Dustin Shawn Tedesco MD NPI is 1649476136, taxonomy code is 207R00000X and license number is 25729, license state is located at Oklahoma. Dustin Shawn Tedesco MD physically located at 920 Stanton L Young Blvd, Oklahoma City OK, 73104-5020. NPI Number Dustin Shawn Tedesco MD has the Individual type.

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1649476136 NPI number is provided on an as is basis without warranty of any kind. 1649476136 is maintained by the National Plan & Provider Enumeration System. The contents of Dustin Shawn Tedesco MD are for informational purposes only.