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Individual

DR. GERARDO LOPEZ MEJIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14321 NE 23RD ST, CHOCTAW, OK 73020-8624
(405) 342-0255
(405) 610-6960
Mailing address
14321 NE 23RD ST, CHOCTAW, OK 73020-8624
(405) 342-0255
(405) 610-6960

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25202
OK

Other

Enumeration date
02/06/2007
Last updated
01/03/2022
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