Mariolga Mercado Do Pc in Broken Arrow - Family Medicine
Mariolga Mercado Do Pc - NPI 1114125911
Mariolga Mercado Do Pc is a Family Medicine in Broken Arrow, Oklahoma. Mariolga Mercado Do Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mariolga Mercado Do Pc is 1114125911. The last update date is 2007-07-12.
Mariolga Mercado Do Pc's current location address is 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma. You can contact this provider via phone number 9183695505 and fax number 9183695508. The mailing address for Mariolga Mercado Do Pc is 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mariolga Mercado Do Pc |
|---|---|
| Address | 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma |
| Phone Number | 9183695505 |
| Fax Number | 9183695508 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mercado Mariolga |
| Credentials | D.O. |
| Telephone Number | 9183695505 |
NPI Number Detail
| NPI Number | 1114125911 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 1615 S Eucalyptus Ave |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740125990 |
| Phone Number | 9183695505 |
| Fax Number | 9183695508 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4101 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Mariolga Mercado Do Pc's 1114125911?
The Mariolga Mercado Do Pc's NPI (National Provider Identifier) Number is 1114125911. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mariolga Mercado Do Pc?
The Mariolga Mercado Do Pc is situated at 1615 S Eucalyptus Ave, in the city of Broken Arrow, state of OK, with the zip code 740125990.
What is Mariolga Mercado Do Pc's area of expertise and its corresponding taxonomy classification?
The Mariolga Mercado Do Pc's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mariolga Mercado Do Pc receive the assignment of its 1114125911 from the Centers for Medicare & Medicaid Services?
The Mariolga Mercado Do Pc was issued its 1114125911 by the Centers for Medicare & Medicaid Services on 2007-07-03.
As of what date were the details pertaining to Mariolga Mercado Do Pc last refreshed?
The information related to the Mariolga Mercado Do Pc, including its address, specialty, and other relevant details, was last updated on 2007-07-12.
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