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NPI Code Detail

MEDICARE: MCKAY DALLAS RENTZ DO

MEDICARE: MCKAY DALLAS RENTZ 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
1390200000XStudent in an Organized Health Care Education/Training ProgramOK
2207P00000XEmergency Medicine Physician8529OK

General Provider Information

NPI Number : 1922703404
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCKAY DALLAS RENTZ DO
Provider Business Mailing Address
First Line : 449 N 300 W
Second Line :
City : PROVO
State : UT
Zip : 84601-2751
Country : US
Telephone Number : 801-836-6318
Fax Number :
Provider Business Practice Location Address
First Line : 4401 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3413
Country : US
Telephone Number : 405-636-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 03/20/2026

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Directions to “ MCKAY DALLAS RENTZ DO” Practice Location

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