Individual
STUART AUSTIN KOAKAI CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
14418 SHAWNEE ST, MOORPARK, CA 93021-3571
(805) 258-2241
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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