Gwen Fuentes MD Pediatric Clinic

NPI #1083830608 in Ardmore, Oklahoma

Provider Information

NPI Number
1083830608
Entity Type
Organization
Organization Name
Gwen Fuentes MD Pediatric Clinic
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Apr 18, 2007
Last Updated
Jan 30, 2011

Practice Location

Address
919 15TH AVE NW
ZIP Code
73401-1809
Phone
(580) 223-5693

Authorized Official

Name
DR. GWEN CANARIAS FUENTES, M.D.
Title
OWNER
Phone
(580) 223-5693

Specialties & Taxonomy Codes

Specialty
Pediatrics
Clinic/Center - Medical SpecialtyMedical Specialty

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