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Individual

DR. FAYSAL LOUTFALLAH NASR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4200 W MEMORIAL RD, SUITE 401, OKLAHOMA CITY, OK 73120-9350
(405) 755-7676
Mailing address
4200 W MEMORIAL RD, SUITE 401, OKLAHOMA CITY, OK 73120-9350
(405) 755-7676

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11878
OK

Other

Enumeration date
08/19/2006
Last updated
07/08/2007
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