Sopukro W Tienabeso, M.D.

NPI #1770513442 in Mcalester, Oklahoma

Provider Information

NPI Number
1770513442
Entity Type
Individual
Name
Sopukro W Tienabeso, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
Jul 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1 E CLARK BASS BLVD
ZIP Code
74501-4209
Phone
(918) 426-1800

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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