Geronimo Camarena

NPI 1053510826 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1053510826
Enumeration Date 07/12/2007
Last Updated 07/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERONIMO GERONIMO
Position PRESIDENT
Phone (918) 851-4983
Fax (918) 516-0335
Practice Location
1323 E 71ST ST STE 101
TULSA OK, 74136-5036, US
Phone (918) 851-4983
Fax (918) 516-0335
Business Location
1323 E 71ST ST STE 101
TULSA OK, 74136-5036, US
Phone (918) 851-4983
Fax (918) 516-0335
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
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According to our database, Geronimo Camarena NPI is 1053510826, taxonomy code is 291U00000X Geronimo Camarena physically located at 1323 E 71st St Ste 101, Tulsa OK, 74136-5036. NPI Number 1033115704 has the healthcare provider type.

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1053510826 NPI number is provided on an as is basis without warranty of any kind. 1053510826 is maintained by the National Plan & Provider Enumeration System. The contents of Geronimo Camarena are for informational purposes only.