Individual
DR. JUAN A. MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,
Contact information
Practice address
424 SE 11TH ST, ANADARKO, OK 73005-4442
(405) 247-7346
(405) 247-7565
Mailing address
1370 N INTERSTATE DR, SUITE 154, NORMAN, OK 73072-3376
(405) 247-7346
(405) 247-7565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18749
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220300A
—
OK
Enumeration date
06/09/2006
Last updated
06/27/2016
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