Doctor Name: | CHRISTINE G DIENNA |
NPI Number: | 1720313901 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | UO2253 |
Business Practice Address: | 4200 W Memorial Rd Ste 410 Oklahoma City, OK - 731208305 |
Business Phone Number: | 4056083800 |
Business Fax Number: | 4056072976 |
Mailing Address: | 7800 Nw 85th Ter Ste 200, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731323385 |
Phone Number: | 4056083800 |
Fax Number: | 4056083838 |
NPI Enumeration Date: | 10/06/2009 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | UO2253 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |