Pourtorkan, Derek James

Pourtorkan, Derek James is an individual health care provider with primary practice located at 2916 N Kelly Ave , Edmond OK 73003-3233. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pourtorkan, Derek James can be contacted via phone (405) 715-5300.

Contact Information

Primary practice address
2916 N Kelly Ave Edmond OK 73003-3233
Phone: (405) 715-5300
Fax: (405) 715-5350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6732 Oklahoma

Profile Details

NPI number 1033601810
LBN Legal business name Pourtorkan, Derek James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2018
Last updated Jul 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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