Individual
DR. ISAAC ILAOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
7530 NW 23RD ST, BETHANY, OK 73008-4921
(405) 730-6990
(405) 730-6992
Mailing address
7530 NW 23RD ST, BETHANY, OK 73008-4921
(405) 730-6990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A13091
CA
207R00000X
Internal Medicine Physician
Primary
6820
OK
Other
Enumeration date
03/26/2012
Last updated
08/06/2020
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