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Dr. Derek James Pourtorkan, DO
Family Medicine Physician in Edmond, Oklahoma
NPI 1033601810

Derek James Pourtorkan is a Family Medicine Physician based in Oklahoma City, OK. Derek James Pourtorkan practices in Edmond, OK and has the professional credentials of DO. The NPI Number for Derek James Pourtorkan is 1033601810 and holds a License No. (Oklahoma).

The current practice location address for Derek James Pourtorkan is 2916 N Kelly Ave, Edmond, OK and can be reached out via phone at 405-715-5300 and via fax at 405-715-5350.

Location: 2916 N Kelly Ave, Edmond, OK, 73112-5555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033601810
Provider Name
Derek James Pourtorkan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2916 N Kelly Ave, Edmond, OK, 73112-5555
Phone Number
405-715-5300
Fax Number
405-715-5350
Provider Enumeration Date
06/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2916 N Kelly Ave
City
Edmond
State
Oklahoma
Zip
73003-3233
Phone Number
405-715-5300
Fax Number
405-715-5350
person
Provider Business Mailing Address Details
Address
2916 N Kelly Ave
City
Edmond
State
Oklahoma
Zip
73003-3233
Phone Number
405-715-5300
Fax Number
405-715-5350
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
6732 (Oklahoma)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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