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Contact Information

DIANNE G TUPPER, R.N., OPA-C
12301 N WESTERN AVE STE 101
OKLAHOMA CITY, OK73114-8017
 Phone: 405-757-8338
 Fax: 405-715-7179
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Orthopedic

163WX0800X
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DIANNE G TUPPER · (Female)

NPI Number 1740578103
Status Active
Credentials R.N., OPA-C
Entity Individual
Enumeration date 07/19/2011
Last updated 06/08/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 1148
  • OK License # 83080
  • OK License # R0083080
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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