Grace Mata Ruidera, M.d., P.c.

NPI 1043523566 - Internal Medicine - 207R00000X

NPI Details
NPI 1043523566
Enumeration Date 07/26/2010
Last Updated 07/26/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GRACE MATA GRACE
Position PHYSICIAN/ OWNER
Phone (405) 732-3990
Fax
Practice Location
8121 NATIONAL AVE
SUITE 309
MIDWEST CITY OK, 73110-7530, US
Phone (405) 732-3990
Fax
Business Location
8121 NATIONAL AVE
SUITE 309
MIDWEST CITY OK, 73110-7530, US
Phone (405) 732-3990
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Oklahoma
License Number 19279
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According to our database, Grace Mata Ruidera, M.d., P.c. NPI is 1043523566, taxonomy code is 207R00000X and license number is 19279, license state is located at Oklahoma. Grace Mata Ruidera, M.d., P.c. physically located at 8121 National Ave, Midwest City OK, 73110-7530. NPI Number 1033115704 has the healthcare provider type.

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1043523566 NPI number is provided on an as is basis without warranty of any kind. 1043523566 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Mata Ruidera, M.d., P.c. are for informational purposes only.