Healthcare Provider Details

I. General information

NPI: 1053348821
Provider Name (Legal Business Name): DENNY RAY PARTON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 10/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 KLABZUBA
PRAGUE OK
74864-1090
US

IV. Provider business mailing address

3555 NW 58TH ST SUITE 900
OKLAHOMA CITY OK
73112-4707
US

V. Phone/Fax

Practice location:
  • Phone: 405-567-4922
  • Fax: 405-567-4290
Mailing address:
  • Phone: 405-917-0418
  • Fax: 405-917-0419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3829
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: