Organization
FIORELLA AVANT DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI L MOORE (CREDENTIALING COORDINATOR)
(405) 775-9350
Entity
Organization
Contact information
Practice address
401 SW 80TH ST, BLDG D, SUITE 101, OKLAHOMA CITY, OK 73139-8122
(405) 601-4227
(405) 601-4237
Mailing address
4131 NW 122ND ST, OKLAHOMA CITY, OK 73120-8869
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
5059
OK
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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