Diana L Defelice, DO

NPI #1649262270 in Owasso, Oklahoma

Provider Information

NPI Number: 1649262270
Entity Type: Individual
Name: Diana L Defelice, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Aug 19, 2005
Last Updated: Oct 6, 2015

Practice Location

Address: 13616 E 103RD ST N
Address 2: STE A
City: Owasso
State: Oklahoma
ZIP Code: 74055-4586
Phone: (918) 274-8555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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