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NPI Code Detail

MEDICARE: ALEXEI RENEE DANIELLE DIGGS

MEDICARE: ALEXEI RENEE DANIELLE DIGGS
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1164359444
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXEI RENEE DANIELLE DIGGS
Provider Business Mailing Address
First Line : 2625 GENERAL PERSHING BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-6437
Country : US
Telephone Number : 405-945-6215
Fax Number :
Provider Business Practice Location Address
First Line : 2625 GENERAL PERSHING BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-6437
Country : US
Telephone Number : 405-945-6215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/08/2026

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Directions to “ ALEXEI RENEE DANIELLE DIGGS ” Practice Location

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