Mosaic MD

NPI #1760007801 in Guymon, Oklahoma

Provider Information

NPI Number: 1760007801
Entity Type: Organization
Organization Name: Mosaic MD
Primary Specialty: General Practice
Enumeration Date: Jun 15, 2020
Last Updated: Jun 16, 2020

Practice Location

Address: 1401 N LELIA ST
City: Guymon
State: Oklahoma
ZIP Code: 73942-3371
Phone: (405) 369-8282

Authorized Official

Name: DR. GLORIA IVETTE RODRIGUEZ CUADRADO, MD
Title: OWNER
Phone: (405) 369-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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