Max A Deardorff is a Gynecology in Tulsa, Oklahoma. Max A Deardorff practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Max A Deardorff is 1134105984. The last update date is 2008-04-20.
Max A Deardorff's current location address is 3902 E 51st St, Tulsa, Oklahoma. You can contact this provider via phone number 9186653050 and fax number 9186105383. The mailing address for Max A Deardorff is 3902 E 51st St, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Max A Deardorff |
|---|---|
| Address | 3902 E 51st St, Tulsa, Oklahoma |
| Phone Number | 9186653050 |
| Fax Number | 9186105383 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134105984 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 3902 E 51st St |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741353606 |
| Phone Number | 9186653050 |
| Fax Number | 9186105383 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 7462 |
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Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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What is the unique 10-digit identification code assigned to Max A Deardorff by the Centers for Medicare & Medicaid Services?
The Max A Deardorff has been issued the NPI (National Provider Identifier) 1134105984, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Max A Deardorff's physical address?
The Max A Deardorff is physically located at 3902 E 51St St, in the city of Tulsa, OK, with the postal code 741353606.
What is the Max A Deardorff's specialty and taxonomy code?
The Max A Deardorff's specialty is Gynecology, and the corresponding taxonomy code is 207Vg0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134105984 to Max A Deardorff?
The Centers for Medicare & Medicaid Services assigned the 1134105984 to Max A Deardorff on 2005-12-22.
As of what date were the details related to Max A Deardorff most recently updated or revised?
The information pertaining to Max A Deardorff, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.