Male or Other

Dr. Derek F. Norcom MD

Family Medicine Physician in Oklahoma City, OK(View on Map)

Full Name

Dr. Derek F Norcom MD

NPI Number

1326087263

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/06/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Oklahoma
Oregon
Tennessee

License Number

43670
MD21044
67415

Contact
Information

Purpose

Mailing
Location

Address

102 WOODMONT BLVD STE 600
7313 S WESTERN AVE

City

Nashville
Oklahoma City

State

TN
OK

Postal Code

37205-5250
73139-2007

Country

US
US

Telephone Number

(629) 224-1621
(405) 251-8884

Identifiers

Identifier

151180

Identifier State

OR

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/25/2024

Provider Address

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