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NPI Code Detail

MEDICARE: RACHEL DALTHORP MD

MEDICARE:   RACHEL  DALTHORP  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician27766OK

General Provider Information

NPI Number : 1811218803
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL DALTHORP MD
Provider Business Mailing Address
First Line : 1113 SW 30TH CT STE B
Second Line :
City : MOORE
State : OK
Zip : 73160-2887
Country : US
Telephone Number : 405-378-2727
Fax Number : 405-378-2776
Provider Business Practice Location Address
First Line : 1105 SW 30TH CT
Second Line :
City : MOORE
State : OK
Zip : 73160-2887
Country : US
Telephone Number : 405-378-2727
Fax Number : 405-378-2776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2010
Last Update Date : 01/30/2026

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Directions to “ RACHEL DALTHORP MD” Practice Location

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