Healthcare Provider Details

I. General information

NPI: 1790747657
Provider Name (Legal Business Name): RODNEY A HELTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 WILL ROGERS PKWY 105
OKLAHOMA CITY OK
73108-1837
US

IV. Provider business mailing address

PO BOX 26168
OKLAHOMA CITY OK
73126-0168
US

V. Phone/Fax

Practice location:
  • Phone: 405-951-2815
  • Fax: 405-948-6507
Mailing address:
  • Phone: 405-947-8585
  • Fax: 405-948-6507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number18500
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: