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Individual

DR. YASUTO TAGUCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 S WALNUT, STILLWATER, OK 74074-4226
(405) 372-6246
(405) 743-3003
Mailing address
801 S WALNUT, STILLWATER, OK 74074-4226
(405) 372-6246
(405) 743-3003

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23881
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200033130A
OK
05
2000457480A
OK
Enumeration date
07/24/2006
Last updated
01/11/2014
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