IndividualActive
Dereck Peery, D.O.
NPI 1164543203 · Orthopaedic Surgery of the Spine Physician · Ardmore, OK
Provider details
- NPI number
- 1164543203
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 4546 (OK)
Practice location
915 10th Ave Nw
Ardmore, OK 73401-4025
Phone: (580) 223-7200
Fax: (580) 223-7207
Mailing address
915 10th Ave Nw
Ardmore, OK 73401-4025
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2009-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.