NPI 1033601810

Derek James Pourtorkan, DO

Practitioner Family Medicine Physician Edmond, OK

Practice location

Address: 2916 N Kelly Ave, Edmond, OK 73003-3233
Phone: (405) 715-5300
Fax: (405) 715-5350
Mailing address: 5300 N Independence Ave STE 280, Oklahoma City, OK 73112-5555

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 6732 (OK)

Other Family Medicine providers in Oklahoma →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1033601810
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2018
Record last updated: 23 Jul 2021

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.