Provider Demographics
NPI:1982708939
Name:DELAFIELD, FREDERICK CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:CHARLES
Last Name:DELAFIELD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4200 W MEMORIAL RD
Mailing Address - Street 2:SUITE 313
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-9350
Mailing Address - Country:US
Mailing Address - Phone:405-749-4290
Mailing Address - Fax:405-749-4295
Practice Address - Street 1:4200 W MEMORIAL RD
Practice Address - Street 2:SUITE 313
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-9350
Practice Address - Country:US
Practice Address - Phone:405-749-4290
Practice Address - Fax:405-749-4295
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2009-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK13196207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK110019960OtherRR MEDICARE
OK110019960OtherRR MEDICARE
OKC94843Medicare UPIN