Organization
IORGA PEDIATRICS LLC
Active
Other names
Iorga Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN IORGA MD (OWNER)
(580) 279-1797
Entity
Organization
Contact information
Practice address
201 N MONTE VISTA ST STE C, ADA, OK 74820-7220
(580) 279-1797
(580) 279-1798
Mailing address
201 N MONTE VISTA ST STE C, ADA, OK 74820-7220
(580) 279-1797
(580) 279-1798
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10005687A
—
OK
Enumeration date
05/24/2019
Last updated
05/24/2019
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