| Diana Oconnor Do Pc | |
|
9809 S Pennsylvania Ave Oklahoma City OK 73159-6925 | |
| (405) 692-1557 | |
| (405) 692-4490 |
| Full Name | Diana Oconnor Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 9809 S Pennsylvania Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Diana Oconnor (OWNER) |
| Authorized Official Contact | 4056921557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Oconnor Do Pc 9809 S Pennsylvania Ave Oklahoma City OK 73159-6925 Ph: (405) 692-1557 | Diana Oconnor Do Pc 9809 S Pennsylvania Ave Oklahoma City OK 73159-6925 Ph: (405) 692-1557 |
| NPI Number | 1669613444 |
|---|---|
| Provider Enumeration Date | 03/09/2009 |
| Last Update Date | 08/01/2011 |
| Medicare PECOS PAC ID | 4587654652 |
|---|---|
| Medicare Enrollment ID | O20040512001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669613444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Helen Diana Oconnor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033138284 PECOS PAC ID: 3779573852 Enrollment ID: I20040602000480 |
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