MR. Rickey Lee Great, PEER REC SUM SPEC
NPI #1861753956 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1861753956
- Entity Type
- Individual
- Name
- MR. Rickey Lee Great, PEER REC SUM SPEC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- PEER REC SUM SPEC
- Enumeration Date
- Jun 5, 2012
- Last Updated
- Jun 5, 2012
Practice Location
- Address
- 834 NE 36TH ST
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73105-7206
- Phone
- (405) 875-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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