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Individual

DR. BERNARDINO L.V.C.B. ROCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3200 QUAIL SPRINGS PKWY STE 200, OKLAHOMA CITY, OK 73134-2699
(405) 241-3539
(405) 241-0998
Mailing address
PO BOX 258857, OKLAHOMA CITY, OK 73125-8857
(405) 241-3539
(405) 241-0998

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R72609
AZ
2086S0129X
Vascular Surgery Physician
Primary
2017030523
MO

Other

Enumeration date
07/06/2011
Last updated
08/04/2022
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