Individual
OSCAR GONZALO TALLEDO ZEVALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 ENCORE WAY, BRYANT, AR 72019-8896
(501) 213-4500
Mailing address
200 HAWKINS DR DEPT OF, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
31526
OK
208600000X
Surgery Physician
Primary
MD-47408
IA
Other
Enumeration date
04/02/2014
Last updated
06/16/2023
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