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Individual

DR. JAIME BUENAVENTURA PILAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 353-0350
Mailing address
315 NW RIDGEVIEW WAY, LAWTON, OK 73505-6131
(580) 249-1359

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25618
VA
208600000X
Surgery Physician
27659
CO
208600000X
Surgery Physician
Primary
C43219
CA

Other

Enumeration date
06/22/2005
Last updated
02/25/2008
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