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Organization

MARIOLGA MERCADO DO PC

Active
Other names
Mari Mercado, D.O.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIOLGA MERCADO D.O. (PRESIDENT)
(918) 369-5505
Entity
Organization

Contact information

Practice address
1615 S EUCALYPTUS AVE, SUITE 211, BROKEN ARROW, OK 74012-5990
(918) 369-5505
(918) 369-5508
Mailing address
1615 S EUCALYPTUS AVE, SUITE 211, BROKEN ARROW, OK 74012-5990
(918) 369-5505
(918) 369-5508

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4101
OK

Other

Enumeration date
07/03/2007
Last updated
07/12/2007
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