MRS. PHYLLIS R DESHAZO REEGT CNIM NPI 1689077612

NPI Information

NPI: 1689077612
Provider Name: MRS. PHYLLIS R DESHAZO, REEGT, CNIM
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Individual

Specialization: Electroneurodiagnostic

Address:
409 E CALIFORNIA AVE
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 841-7826
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MRS. Phyllis R Deshazo, REEGT, CNIM is an electroneurodiagnostic specialist technologist other in Oklahoma City, OK. MRS. Phyllis R Deshazo, REEGT, CNIM NPI is 1689077612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

409 E CALIFORNIA AVE
OKLAHOMA CITY, OK
ZIP 73104-224
Phone: (405) 841-7826
Fax: (405) 841-7827

The enumeration date for this NPI number is 10/5/2014 and was last updated on 10/5/2014.

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
1	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic	466	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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