Individual
ALFONSO ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 554-4890
Mailing address
1203 E DELL AVE, STILLWATER, OK 74075-2900
(239) 321-3549
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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