NPI 1063822633

Dustin Shaun Tedesco PLLC

Organisation Nephrology Physician Norman, OK

Practice location

Address: 1553 N Porter Ave, Norman, OK 73071-6621
Phone: (405) 217-8500
Fax: (405) 217-8501

Authorised official

Name: Shaun Tedesco
Title: Owner/Physician
Phone: (405) 936-0504

Registered specialties

Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X Licence 25729 (OK)

Other Internal Medicine providers in Oklahoma →

Registry record

NPI: 1063822633
Entity type: Organization
NPI issued: 5 May 2014
Record last updated: 5 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.