Individual
ANTHONY AREVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 S DOUGLAS BLVD, STE 200, OKLAHOMA CITY, OK 73150-1014
(405) 737-7000
(405) 272-2898
Mailing address
3400 S DOUGLAS BLVD, STE 200, OKLAHOMA CITY, OK 73150-1014
(405) 737-7000
(405) 272-2898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15416
OK
207R00000X
Internal Medicine Physician
R4F46
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100135630A
—
OK
05
—
202233201
—
MO
Enumeration date
07/02/2006
Last updated
11/01/2012
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