Semira Charboneau Internal Medicine

NPI #1609914365 in Ada, Oklahoma

Provider Information

NPI Number: 1609914365
Entity Type: Organization
Organization Name: Semira Charboneau Internal Medicine
Primary Specialty: Internal Medicine
Enumeration Date: Feb 2, 2007
Last Updated: Mar 27, 2008

Practice Location

Address: 625 N MONTE VISTA ST
City: Ada
State: Oklahoma
ZIP Code: 74820-4613
Phone: (580) 332-4443

Authorized Official

Name: SEMIRA CHARBONEAU, D.O.
Title: PHYSICIAN
Phone: (580) 332-4443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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