Susan M Dimick M.D.

NPI 1083663611 - Family Medicine - 207Q00000X

NPI Details
NPI 1083663611
Gender Female
Enumeration Date 05/10/2006
Last Updated 01/05/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3317 E MEMORIAL RD
SUITE 103
EDMOND OK, 73013-7105, US
Phone (405) 475-0100
Fax
Business Location
3317 E MEMORIAL RD STE 103
EDMOND OK, 73013-7095, US
Phone (405) 475-0100
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 15279
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According to our database, Dr. Susan M Dimick M.D. NPI is 1083663611, taxonomy code is 207Q00000X and license number is 15279, license state is located at Oklahoma. Susan M Dimick M.D. physically located at 3317 E Memorial Rd, Edmond OK, 73013-7105. NPI Number Susan M Dimick M.D. has the Individual type.

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1083663611 NPI number is provided on an as is basis without warranty of any kind. 1083663611 is maintained by the National Plan & Provider Enumeration System. The contents of Susan M Dimick M.D. are for informational purposes only.