Gwen Canarias Fuentes M.D.

NPI 1013914324 - Pediatrics - 208000000X

NPI Details
NPI 1013914324
Gender Female
Enumeration Date 06/30/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
919 15TH AVE NW
ARDMORE OK, 73401-1809, US
Phone (580) 223-5693
Fax (580) 223-8909
Business Location
919 15TH AVE NW
ARDMORE OK, 73401-1809, US
Phone (580) 223-5693
Fax (580) 223-8909
Toxanomy
Taxonomy Code 208000000X
License State Oklahoma
License Number 13171
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According to our database, Dr. Gwen Canarias Fuentes M.D. NPI is 1013914324, taxonomy code is 208000000X and license number is 13171, license state is located at Oklahoma. Gwen Canarias Fuentes M.D. physically located at 919 15th Ave Nw, Ardmore OK, 73401-1809. NPI Number Gwen Canarias Fuentes M.D. has the Individual type.

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1013914324 NPI number is provided on an as is basis without warranty of any kind. 1013914324 is maintained by the National Plan & Provider Enumeration System. The contents of Gwen Canarias Fuentes M.D. are for informational purposes only.