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Individual

DR. CARLOS R CONESA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3000
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2032
(401) 456-6719

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP04752
RI
208D00000X
General Practice Physician
Primary
21181
PR

Other

Enumeration date
12/18/2018
Last updated
04/13/2021
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