Provider Demographics
NPI:1457451692
Name:RICHARD D. ORGILL, M.D., P.C.
Entity Type:Organization
Organization Name:RICHARD D. ORGILL, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:ORGILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-605-4368
Mailing Address - Street 1:10958 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-6202
Mailing Address - Country:US
Mailing Address - Phone:405-605-4386
Mailing Address - Fax:
Practice Address - Street 1:10958 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-6202
Practice Address - Country:US
Practice Address - Phone:405-605-4386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK22488207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty