Individual
DR. MARIO R MORENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 E FRANK PHILLIPS BLVD, JPMC ANESTHESIA DEPT, BARTLESVILLE, OK 74006-2411
(918) 331-1555
(918) 331-1695
Mailing address
PO BOX 3456, BARTLESVILLE, OK 74006-3456
(918) 333-3830
(918) 333-3846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21669
OK
207LP2900X
Pain Medicine (Anesthesiology) Physician
21669
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032890A
—
OK
05
—
100371240A
—
KS
Enumeration date
10/10/2006
Last updated
06/02/2014
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