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PREMIER RHEUMATOLOGY OF OKLAHOMA
12142 S YUKON AVE
GLENPOOL, OK74033-6621
 Phone: 918-488-8840
 Fax: 918-488-8842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PREMIER RHEUMATOLOGY OF OKLAHOMA · (Female)

NPI # 1891282877
Status Active
Credentials
Entity Individual
Enumeration date 04/16/2018
Last updated 03/26/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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