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Individual

EUGENIO ERQUIAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4500 S GARNETT RD STE 112, TULSA, OK 74146-5201
(189) 353-5509
Mailing address
4500 S GARNETT RD STE 112, TULSA, OK 74146-5201
(918) 935-3550

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34700
OK
2085R0202X
Diagnostic Radiology Physician
ME0058937
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
377094000
FL
Enumeration date
06/01/2006
Last updated
08/19/2021
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