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Individual

CARLO MADRID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 NE 10TH ST, FMC 2102, OKLAHOMA CITY, OK 73104-5420
(405) 271-2230
Mailing address
940 STANTON L YOUNG BLVD, BMSB 357, OKLAHOMA CITY, OK 73104-5020
(405) 271-2265

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25747
OK

Other

Enumeration date
06/19/2007
Last updated
07/08/2007
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