Max A Deardorff
Gynecologist
3902 E 51st St
Tulsa
, Oklahoma 74135-3606
Max A Deardorff
Gynecologist
3902 E 51st St
Tulsa
, Oklahoma 74135-3606
(918) 488-6010
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Max A Deardorff
- 6600 S Yale Ave Ste 1400
- Tulsa, OK
- Zip : 74136-3310
- Fax : (918) 488-6010
- Phone : (918) 488-6001
Second Address
- Max A Deardorff
- 3902 E 51st St
- Tulsa, OK
- Zip : 74135-3606
- Fax : (918) 610-5383
- Phone : (918) 665-3050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 7462 | OK |
National Provider Identifier
| NPI | 1134105984 |
|---|---|
| Provider Name | Max A Deardorff |
| First Address | Tulsa, OK 74136-3310 |
| Second Address | Tulsa, OK 74135-3606 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/12/2005 |
| Last Update Date | 20/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C94839 | (02) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.