Individual
FABIO MOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-4570
(580) 272-2715
Mailing address
1921 STONECIPHER BOULEVARD, ADA, OK 74820-3439
(580) 421-4584
(580) 421-6224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35039116M
OH
Other
Enumeration date
01/05/2006
Last updated
07/21/2011
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