Individual
DR. MIGUEL RAY SABEDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N 4TH ST, MARLOW, OK 73055-1807
(580) 658-6679
(580) 658-8021
Mailing address
501N 4TH ST, MARLOW, OK 73055-1807
(580) 658-3203
(580) 658-8026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17353
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131510A
—
OK
01
—
OK17356
OKLAHOMA STATE LICENSE
OK
Enumeration date
02/22/2006
Last updated
03/17/2023
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