Individual
MR. OSWALD LLANDEROSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1553 N PORTER AVE, NORMAN, OK 73071-6621
(405) 217-8500
(405) 217-8501
Mailing address
1553 N PORTER AVE, NORMAN, OK 73071-6621
(405) 217-8500
(405) 217-8501
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
11647
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108050A
—
OK
Enumeration date
11/07/2005
Last updated
11/18/2009
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