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Individual

DR. MAURICIO JOSE DE CASTRO PRETELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 CHILDRENS AVE STE 5D, OKLAHOMA CITY, OK 73104-4637
(405) 271-4211
(405) 271-2263
Mailing address
301 FISHER ST RM GG700, KEESLER AFB, MS 39534-2508

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
0101250567
VA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
46520
OK
207SG0203X
Clinical Molecular Genetics Physician
0101250567
VA

Other

Enumeration date
06/19/2009
Last updated
01/07/2026
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