Individual provider · Type 1 NPI

Phyllis R. Deshazo, REEGT, CNIM

Electroneurodiagnostic Specialist/Technologist · Oklahoma City, OK

NPI number 1689077612 Active

Practice location

409 E California Ave
Oklahoma City, OK 73104-4224

Call (405) 841-7826 Map

Fax (405) 841-7827

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600X466 (OK)

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1689077612

Phyllis R. Deshazo, REEGT, CNIM's National Provider Identifier is 1689077612, issued on Oct 5, 2014. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 5, 2014.