Individual
RICARDO MARIANO VALBUENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1107 WEST MAIN STREET, WILBURTON, OK 74578
(918) 465-5681
(918) 465-5682
Mailing address
1107 WEST MAIN STREET, WILBURTON, OK 74578
(918) 465-5681
(918) 465-5682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12464
OK
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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