Israel Becerra MD

NPI 1013940071 - Family Medicine - 207Q00000X

NPI Details
NPI 1013940071
Gender Male
Enumeration Date 07/09/2006
Last Updated 07/09/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2900 S TELEPHONE RD STE 250
MOORE OK, 73160-2969, US
Phone (405) 237-7500
Fax
Business Location
3618 S FIR BLVD
BROKEN ARROW OK, 74011-1738, US
Phone (918) 361-4951
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 24073
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According to our database, Dr. Israel Becerra MD NPI is 1013940071, taxonomy code is 207Q00000X and license number is 24073, license state is located at Oklahoma. Israel Becerra MD physically located at 2900 S Telephone Rd Ste 250, Moore OK, 73160-2969. NPI Number Israel Becerra MD has the Individual type.

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1013940071 NPI number is provided on an as is basis without warranty of any kind. 1013940071 is maintained by the National Plan & Provider Enumeration System. The contents of Israel Becerra MD are for informational purposes only.