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Ted Demille

NPI 1487376521 · on the registry since 2022

Practice

Address
6333 E Skelly Dr
Tulsa, OK 74135
Phone
(918) 273-1841
Organisation at this address
12&12 Inc
12 And 12 Inc
Addiction Medical Specialists Llc
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
405

Registry record

Primary taxonomy
Case Manager/Care Coordinator
171M00000X
Sex
Male
Record last updated
2022-09-15
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma