Individual
NELSON IVAN AGUDELO-HIGUITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP1265, OKLAHOMA CITY, OK 73104-5036
(405) 271-6434
(405) 271-6264
Mailing address
1122 NE 13TH STREET, ORI 274, OKLAHOMA CITY, OK 73119-1039
(405) 271-1515
(405) 271-6264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25170
OK
207RI0200X
Infectious Disease Physician
Primary
25170
OK
Other
Enumeration date
06/19/2007
Last updated
05/15/2017
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