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Contact Information

SANDRA K DIMMITT, MD
1102 E 2ND ST
CUSHING, OK74023-4139
 Phone: 918-225-3006
 Fax: 918-225-5245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SANDRA K DIMMITT · (Female)

NPI # 1245264894
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 05/01/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 11700
  • OK Medicaid 100200770A
  • OK Other OKA103248 MEDICARE PTAN
Hospital affiliation(s)
  • DRUMRIGHT REGIONAL HOSPITAL - (Critical Access)
    610 WEST BYPASS
    DRUMRIGHT, OK 74030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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