person
Mrs. Phyllis R Deshazo, REEGT,CNIM
Electroneurodiagnostic Specialist/Technologist in Oklahoma City, Oklahoma
NPI 1689077612

Phyllis R Deshazo is a Electroneurodiagnostic Specialist/Technologist based in Oklahoma City, OK and is specialized in Electroneurodiagnostic. Phyllis R Deshazo practices in Oklahoma City, OK and has the professional credentials of REEGT,CNIM. The NPI Number for Phyllis R Deshazo is 1689077612 and holds a License No. 466 (Oklahoma).

The current practice location address for Phyllis R Deshazo is 409 E California Ave, Oklahoma City, OK and can be reached out via phone at 405-841-7826 and via fax at 405-841-7827. You can also correspond with Phyllis R Deshazo through the mailing address at 409 E CALIFORNIA AVE, OKLAHOMA CITY, OK - 73104-4224 (mailing address contact number: 405-841-7826).

Location: 409 E California Ave, Oklahoma City, OK, 73104-4224
person
Provider Profile Details
NPI Number
1689077612
Provider Name
Phyllis R Deshazo
Credential
REEGT,CNIM
Provider Entity Type
Individual
Gender
Female
Address
409 E California Ave, Oklahoma City, OK, 73104-4224
Phone Number
405-841-7826
Fax Number
405-841-7827
Provider Enumeration Date
10/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
409 E California Ave
City
State
Zip
73104-4224
Phone Number
405-841-7826
Fax Number
405-841-7827
person
Provider Business Mailing Address Details
Address
409 E California Ave
City
State
Zip
73104-4224
Phone Number
405-841-7826
Fax Number
405-841-7827
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
License No.
466 (Oklahoma)
Definition
Definition to come...
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