Individual
GHAITH AL-QUDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
435 N MONTE VISTA ST, ADA, OK 74820-4676
(580) 310-0102
(580) 310-0104
Mailing address
435 N MONTE VISTA ST, ADA, OK 74820-4676
(580) 310-0102
(580) 310-0104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39005
OK
Other
Enumeration date
07/18/2016
Last updated
07/13/2022
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