Individual
RICO GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5224 E I 240 SERVICE RD STE 301, OKLAHOMA CITY, OK 73135-2607
(405) 608-3800
(405) 628-6896
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
23917
OK
208VP0000X
Pain Medicine Physician
Primary
23917
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200124860A
—
OK
01
—
23917
OK LICENSE
OK
Enumeration date
01/19/2006
Last updated
06/06/2022
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