Individual
REBECCA G. BIORATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
731 E STATE HIGHWAY 152, MUSTANG, OK 73064-4520
(405) 256-5011
(405) 256-5074
Mailing address
14936 SW 65TH ST, MUSTANG, OK 73064-9599
(405) 256-5011
(405) 256-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4174
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200036540B
—
OK
01
—
32405
OBNDD
OK
01
—
4174
LICENSE
OK
Enumeration date
06/30/2006
Last updated
10/19/2018
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