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NPI Code Detail

MEDICARE: HELEN DIANA OCONNOR DO

MEDICARE:   HELEN DIANA OCONNOR  DO
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
1207Q00000XFamily Medicine Physician2718OK

General Provider Information

NPI Number : 1033138284
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN DIANA OCONNOR DO
Provider Business Mailing Address
First Line : 9809 S PENNSYLVANIA AVE
Second Line : OKLAHOMA CITY
City : OKLAHOMA CITY
State : OK
Zip : 73159-6925
Country : US
Telephone Number : 405-692-1557
Fax Number : 405-692-4490
Provider Business Practice Location Address
First Line : 9809 S PENNSYLVANIA AVE
Second Line : OKLAHOMA CITY
City : OKLAHOMA CITY
State : OK
Zip : 73159-6925
Country : US
Telephone Number : 405-692-1557
Fax Number : 405-692-4490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 05/21/2012

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Directions to “ HELEN DIANA OCONNOR DO” Practice Location

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