Whalio Doctors

NPI 1104832179

Christopher S Deloache, DO

Practitioner Orthopaedic Surgery Physician Tahlequah, OK

Practice location

Address
1373 E. Boone St. Suite 3401, Tahlequah, OK 74464-3234
Phone
(918) 456-6848
Fax
(918) 456-1150

Registered specialties

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 3349 (OK)

Registry record

NPI
1104832179
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Jul 2006
Record last updated
12 Sep 2012

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.