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DAVID ISAAC TELAN MORTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
940 NE 14TH STREET, SUITE 2G-2300, PEDIATRIC EMERGENCY MEDICINE OFFICE, OKLAHOMA CITY, OK 73104
(405) 271-2429
(405) 271-2421
Mailing address
940 NE 13TH ST, SUITE 2G-2300, OKLAHOMA CITY, OK 73104-5008
(405) 271-2429
(405) 271-2421

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
003778
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
30390
OK

Other

Enumeration date
05/21/2009
Last updated
07/25/2014
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