Individual
DR. MARCOS EMANUEL WORTMANN GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
(405) 271-8695
Mailing address
PO BOX 26901, OKLAHOMA CITY, OK 73126-0901
(405) 271-4351
(405) 271-8695
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28727
OK
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
28727
OK
Other
Enumeration date
05/10/2008
Last updated
08/16/2021
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