MEDICARE: S A DEAN DROOBY 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
1	207R00000X	Internal Medicine Physician	13315	OK

General Provider Information

NPI Number	:	1598747354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	S A DEAN DROOBY MD

Provider Business Mailing Address
First Line	:	4140 W MEMORIAL RD
Second Line	:	STE 602
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8366
Country	:	US
Telephone Number	:	405-749-4223
Fax Number	:	405-749-4232

Provider Business Practice Location Address
First Line	:	4140 W MEMORIAL RD
Second Line	:	STE 602
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8366
Country	:	US
Telephone Number	:	405-749-4223
Fax Number	:	405-749-4232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	07/08/2007

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Directions to “ S A DEAN DROOBY MD” Practice Location

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