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Contact Information

MAX A DEARDORFF, MD
3902 E 51ST ST
TULSA, OK74135-3606
 Phone: 918-665-3050
 Fax: 918-610-5383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MAX A DEARDORFF · (Male)

NPI # 1134105984
Status Active
Credentials MD
Entity Individual
Enumeration date 12/22/2005
Last updated 04/20/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 7462
Hospital affiliation(s) Not Available
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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