Organization
IES OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESTOR ZENAROSA MD (AO)
(469) 420-5544
Entity
Organization
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 531-4700
Mailing address
PO BOX 2383, INDIANAPOLIS, IN 46206-2383
(469) 420-5544
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
04/12/2024
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