SOUTHEASTERN MEDICAL SERVICES LLC NPI 1619277688

NPI Information

  • NPI: 1619277688
  • Provider Name: SOUTHEASTERN MEDICAL SERVICES LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 1225 W MAIN ST
    STE 205
    NORMAN, OK
    ZIP 73069
  • Phone: (405) 292-5500

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NPI Details

SOUTHEASTERN MEDICAL SERVICES LLC is an obstetrics gynecology in Norman, OK. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SOUTHEASTERN MEDICAL SERVICES LLC NPI is 1619277688. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1225 W MAIN ST
STE 205
NORMAN, OK
ZIP 73069-824
Phone: (405) 292-5500
Fax: (405) 292-5505

The provider's authorized official is Stephen Riddel .
The authorized official title is Managing Partner and has the following contact phone number (405) 292-5500.

The enumeration date for this NPI number is 10/25/2010 and was last updated on 10/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology16862OKLAHOMAYes

What is NPI?

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This page was last updated on: 11/21/2025

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