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Diana L Defelice, DO
Family Medicine Physician in Owasso, Oklahoma
NPI 1649262270

Diana L Defelice is a Family Medicine Physician based in Tulsa, OK. Diana L Defelice practices in Owasso, OK and has the professional credentials of DO. The NPI Number for Diana L Defelice is 1649262270 and holds a License No. 2160 (Oklahoma).

The current practice location address for Diana L Defelice is 13616 E 103Rd St N, Owasso, OK and can be reached out via phone at 918-274-8555 and via fax at 918-274-8556. You can also correspond with Diana L Defelice through the mailing address at 1717S UTICA AVE A, TULSA, OK - 74104-5346 (mailing address contact number: 918-748-1300).

Location: 13616 E 103Rd St N, Owasso, OK, 74104-5346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649262270
Provider Name
Diana L Defelice
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
13616 E 103Rd St N, Owasso, OK, 74104-5346
Phone Number
918-274-8555
Fax Number
918-274-8556
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100768880I 01 OK SONICARE MEDICAID
100088200B 05 OK
institution
Provider Business Practice Location Address Details
Address
13616 E 103Rd St N
City
Owasso
State
Oklahoma
Zip
74055-4586
Phone Number
918-274-8555
Fax Number
918-274-8556
person
Provider Business Mailing Address Details
Address
13616 E 103Rd St N
City
Owasso
State
Oklahoma
Zip
74055-4586
Phone Number
918-274-8555
Fax Number
918-274-8556
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2160 (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.
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