Individual
RANILO L VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2950 S ELM PL, STE 260, BROKEN ARROW, OK 74012-7877
(918) 449-3700
(918) 449-3705
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23629
OK
Other
Enumeration date
03/02/2006
Last updated
09/17/2015
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