Erick Derocher D O Inc

NPI 1316039688 - Family Medicine - 207Q00000X

NPI Details
NPI 1316039688
Enumeration Date 09/28/2006
Last Updated 06/25/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ERICK CHARLES ERICK
Position PRESIDENT
Phone (580) 243-2273
Fax (580) 243-2832
Practice Location
411 N RANDALL AVE
ELK CITY OK, 73644-4127, US
Phone (580) 243-2273
Fax (580) 243-2832
Business Location
411 N RANDALL AVE
ELK CITY OK, 73644-4127, US
Phone (580) 243-2273
Fax (580) 243-2832
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number OK2573
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According to our database, Erick Derocher D O Inc NPI is 1316039688, taxonomy code is 207Q00000X and license number is OK2573, license state is located at Oklahoma. Erick Derocher D O Inc physically located at 411 N Randall Ave, Elk City OK, 73644-4127. NPI Number 1033115704 has the healthcare provider type.

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1316039688 NPI number is provided on an as is basis without warranty of any kind. 1316039688 is maintained by the National Plan & Provider Enumeration System. The contents of Erick Derocher D O Inc are for informational purposes only.