Desprez, Roger D

Desprez, Roger D is an individual health care provider with primary practice located at 1265 S Utica Ave Suite 300, Tulsa OK 74104-4243. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Desprez, Roger D can be contacted via phone (918) 592-0999.

Contact Information

Primary practice address
1265 S Utica Ave Suite 300 Tulsa OK 74104-4243
Phone: (918) 592-0999
Fax: (918) 592-1021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20657 Oklahoma
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20657 Oklahoma

Profile Details

NPI number 1154391993
LBN Legal business name Desprez, Roger D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Nov 4th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154391993 NPPES
Oklahoma Other 060049594 MEDICARE RAILROAD
Oklahoma Other P00642509 MEDICARE RAILROAD
Oklahoma MEDICAID 100067520A MEDICARE RAILROAD

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