Luis V Gorospe Md Pc

NPI 1245428689 - Surgery - 208600000X

NPI Details
NPI 1245428689
Enumeration Date 10/10/2007
Last Updated 01/07/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LUIS V LUIS
Position PHYSICIAN
Phone (918) 252-2800
Fax (918) 252-2888
Practice Location
705 W QUEENS ST
BROKEN ARROW OK, 74012-1767, US
Phone (918) 252-2800
Fax (918) 252-2888
Business Location
PO BOX 35567
TRIAD BANK
TULSA OK, 74153, US
Phone (918) 252-2800
Fax (918) 252-2888
Toxanomy
Taxonomy Code 208600000X
License State Oklahoma
License Number 10249
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According to our database, Luis V Gorospe Md Pc NPI is 1245428689, taxonomy code is 208600000X and license number is 10249, license state is located at Oklahoma. Luis V Gorospe Md Pc physically located at 705 W Queens St, Broken Arrow OK, 74012-1767. NPI Number 1033115704 has the healthcare provider type.

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1245428689 NPI number is provided on an as is basis without warranty of any kind. 1245428689 is maintained by the National Plan & Provider Enumeration System. The contents of Luis V Gorospe Md Pc are for informational purposes only.