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

NPI #1043523566 in Midwest City, Oklahoma

Provider Information

NPI Number
1043523566
Entity Type
Organization
Organization Name
Grace Mata Ruidera, M.d., P.c.
Primary Specialty
Internal Medicine
Enumeration Date
Jul 26, 2010
Last Updated
Jul 26, 2010

Practice Location

Address
8121 NATIONAL AVE
Address 2
SUITE 309
ZIP Code
73110-7530
Phone
(405) 732-3990

Authorized Official

Name
DR. GRACE MATA RUIDERA, M.D.
Title
PHYSICIAN/ OWNER
Phone
(405) 732-3990

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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