Individual
NESTOR F. PINAROC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 S MUSTANG RD, YUKON, OK 73099-6737
(405) 936-5910
(405) 577-2605
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19456
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080172662
RAILROAD
OK
05
—
100102750A
—
OK
01
—
18903
OBNDD
OK
01
—
19456
LICENSE
OK
Enumeration date
06/22/2006
Last updated
05/20/2014
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